| NPI | 1467835678 |
|---|---|
| Doing Business As | BANGOR CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARCUS ALLEN WILKERSON CEO 207-951-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: ME DEN4256) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: ME DEN4448) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2022-11-08 |