Whalio Doctors

NPI 1659617108

McKenzie Dental Laboratory, INC

Organisation Dental Laboratory Technician Bangor, ME

Practice location

Address
1407 B Broadway, Bangor, ME 04401-2496
Phone
(207) 941-8998
Fax
(207) 941-0222
Mailing address
PO Box 8056, Bangor, ME 04402-8056

Authorised official

Name
Richard Martin McKenzie
Title
Owner
Phone
(207) 941-8998

Registered specialties

Dental Laboratory Technician Primary
Dental Providers Taxonomy 126900000X

Registry record

NPI
1659617108
Entity type
Organization
NPI issued
2 Jan 2013
Record last updated
2 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.