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Individual

DR. REBEKAH L BLANCHETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
715 HAMMOND ST, BANGOR, ME 04401-4515
(207) 945-6493
(207) 947-6003
Mailing address
715 HAMMOND ST, BANGOR, ME 04401-4515
(207) 945-6493
(207) 947-6003

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
DEN4143
ME
1223G0001X
General Practice Dentistry
Primary
DEN4143
ME

Other

Enumeration date
06/23/2010
Last updated
06/23/2010
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