NPI 1063904787

Ziad Al Adham

Practitioner Dentist Bangor, ME

Practice location

Address: 1048 Union St, Bangor, ME 04401
Phone: (207) 404-8200
Fax: (207) 947-0435
Mailing address: PO Box 1599, Bangor, ME 04402-1599

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DEN4649 (ME)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1063904787
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2018
Record last updated: 13 Jun 2018

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.