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1518003094
MARK EDWARD GRUBB
BANGOR, ME
NPI
1518003094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0106X Dentist Oral and Maxillofacial Pathology
(Licence: ME 3340)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
MARK EDWARD GRUBB D.D.S.
37 BOWER ST
BANGOR, ME 04401-4721
Phone number: 207-945-5691
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Mailing Address
MARK EDWARD GRUBB D.D.S.
91 JUDSON BLVD
BANGOR, ME 04401-2521
Phone number: 207-945-5353
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