Individual
ERON CHARLES ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
8 PENN PLZ, BANGOR, ME 04401-3620
(207) 852-9597
(207) 947-5132
Mailing address
555 MEADOW RD, HAMPDEN, ME 04444-3217
(480) 335-4466
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8815
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2009
Last updated
09/08/2020
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