NPI 1003041609

Sherry M Bodge, LD

Practitioner Denturist Bangor, ME

Practice location

Address: 12 Stillwater Ave, Bangor, ME 04401-3984
Phone: (207) 941-6550

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence 5054 (ME)

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Registry record

NPI: 1003041609
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2009
Record last updated: 27 May 2009

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.