Individual
RONALD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1048 UNION ST, SUITE 4, BANGOR, ME 04401-8600
(207) 945-5247
(207) 992-2154
Mailing address
1048 UNION ST, SUITE 5, BANGOR, ME 04401-8600
(207) 945-5247
(207) 992-2154
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4116
ME
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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