Organization
W W WIBBY DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE WILSON WIBBY DDS (DENTIST)
(207) 942-4155
Entity
Organization
Contact information
Practice address
20 BELLEVUE AVE, BANGOR, ME 04401-5618
(207) 942-4155
(207) 942-1819
Mailing address
20 BELLEVUE AVE, BANGOR, ME 04401-5618
(207) 942-4155
(207) 942-1819
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2145
ME
Other
Enumeration date
06/06/2007
Last updated
06/13/2013
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