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1619534302
JACOB ANTHONY VALLEY
BANGOR, ME
NPI
1619534302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ME 4709)
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
Dr. JACOB ANTHONY VALLEY DMD
62 CORPORATE DR
BANGOR, ME 04401
Phone number: 207-947-7503
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Mailing Address
Dr. JACOB ANTHONY VALLEY DMD
46 PINE VALLEY WAY
BREWER, ME 04412-2702
Phone number: 207-478-3605
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