Individual
BRAD J. WOODFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
570 STILLWATER AVE, BANGOR, ME 04401-3522
(207) 945-6324
Mailing address
570 STILLWATER AVE, BANGOR, ME 04401-3522
(207) 945-6324
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN 4336
ME
Other
Enumeration date
11/30/2012
Last updated
12/26/2016
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