Individual provider · Type 1 NPI

Gary Boudreau, LD

Denturist · Bangor, ME

NPI number 1467996330 Active

Practice location

12 Stillwater Ave
Bangor, ME 04401-3984

Call (207) 941-6550 Map

Fax (207) 973-3952

Mailing address

174 Bangor Rd
Benton, ME 04901-3532

Specialties and licenses

TaxonomyCodeLicense
Denturist Primary 122400000X5535 (ME)

Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

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About NPI 1467996330

Gary Boudreau, LD's National Provider Identifier is 1467996330, issued on Dec 13, 2016. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Bangor, ME. The record was last updated on Dec 13, 2016.