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Individual

SHAUN N DOWD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
72 STATE ST, BANGOR, ME 04401-5351
(207) 947-4767
(207) 947-7112
Mailing address
72 STATE ST, BANGOR, ME 04401-5351
(207) 947-4767
(207) 947-7112

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2098
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
828257
UNITED CONCORDIA
ME
Enumeration date
06/08/2006
Last updated
07/08/2007
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