BRIAN M WALLER

BANGOR, ME
NPI1285214221
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ME  DEN5051)
Enumeration Date2021-04-13
Last Update Date2023-07-26
Business Address
BRIAN M WALLER DMD
1048 UNION ST
BANGOR, ME 04401-3016
Phone number: 207-992-2152
Mailing Address
BRIAN M WALLER DMD
PO BOX 1599
BANGOR, ME 04402-1599
Phone number:
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