Individual
DR. BLAIR VANNOSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
21 NORTHBROOK DR, FALMOUTH, ME 04105-1346
(207) 781-2328
Mailing address
21 NORTHBROOK DR, FALMOUTH, ME 04105-1346
(207) 781-2328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3805
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3805
STATE DENTAL LICENSE NUMB
ME
Enumeration date
06/21/2007
Last updated
07/08/2007
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