FREDERICK PORT

BANGOR, ME
NPI1851301089
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ME  2618)
Enumeration Date2006-08-09
Last Update Date2007-07-09
Business Address
Dr. FREDERICK PORT DMD
700 MOUNT HOPE AVE SUITE 610
BANGOR, ME 04401-5691
Phone number: 207-945-5952
Mailing Address
Dr. FREDERICK PORT DMD
700 MOUNT HOPE AVE SUITE 610
BANGOR, ME 04401-5691
Phone number:
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