Maine Pediatric Dentistry LLC
NPI #1073363677 in South Portland, Maine
Provider Information
- NPI Number
- 1073363677
- Entity Type
- Organization
- Organization Name
- Maine Pediatric Dentistry LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 26, 2024
- Last Updated
- Mar 26, 2024
Practice Location
- Address
- 85 WESTERN AVE
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-2423
- Phone
- (207) 408-0479
Authorized Official
- Name
- DAVID LEE
- Title
- COO
- Phone
- (732) 207-1689
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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