Type 2 organization · NPI 1013274067
KATAHDIN PEDIATRIC DENTISTRY
1223P0221X · BANGOR, ME
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 1223P0221X | 1223P0221X | Primary |
| 1223P0221X | 1223P0221X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s