GARY BOUDREAU, LD, Denturist BANGOR, ME

Contact Information

GARY BOUDREAU, LD

12 STILLWATER AVE
BANGOR, ME 04401-3984

Phone: 207-941-6550
Fax: 207-973-3952
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Denturist	122400000X

Indicates primary specialty

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NPI Profile & details for GARY BOUDREAU · (Male)

NPI Number	`1467996330`
Status	Active
Credentials	LD
Entity	Individual
Enumeration date	12/13/2016
Last updated	12/13/2016 - About 9 years ago
Sole proprietor ¹	Yes
Identifiers	ME License # 5535
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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GARY BOUDREAU, LD – NPI #1467996330Denturist

Contact Information

Specialty

Denturist

NPI Profile & details for GARY BOUDREAU · (Male)

Reviews for GARY BOUDREAU

GARY BOUDREAU, LD – NPI #1467996330
Denturist