Organization
BANGOR BRACES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD JAMES WOODFORD DDS (OWNER)
(207) 945-6324
Entity
Organization
Contact information
Practice address
570 STILLWATER AVE, BANGOR, ME 04401-3522
(207) 945-6324
Mailing address
570 STILLWATER AVE, BANGOR, ME 04401-3522
(207) 945-6324
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN4336
ME
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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