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1295965036
MONTRESSOR LAMAR UPSHAW
BANGOR, ME
NPI
1295965036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ME DEN4484)
Enumeration Date
2009-07-14
Last Update Date
2016-07-20
Business Address
Dr. MONTRESSOR LAMAR UPSHAW DDS
1048 UNION ST PENOBSCOT COMMUNITY HEALTH CENTER
BANGOR, ME 04401-3016
Phone number: 207-992-2152
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Mailing Address
Dr. MONTRESSOR LAMAR UPSHAW DDS
PO BOX 1599 PENOBSCOT COMMUNITY HEALTH CENTER
BANGOR, ME 04402-1599
Phone number: 207-945-5247
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