Individual
ZACHARY K. REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
440 NARRAGANSETT TRL, BUXTON, ME 04093-6505
(207) 929-3900
Mailing address
399 STEVENS AVE, PORTLAND, ME 04103-2608
(207) 423-2674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4639
ME
Other
Enumeration date
07/04/2018
Last updated
07/04/2018
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