Mainehealth

NPI #1073702288 in Portland, Maine

Provider Information

NPI Number
1073702288
Entity Type
Organization
Organization Name
Mainehealth
Primary Specialty
Oral & Maxillofacial Surgery
Enumeration Date
Oct 24, 2007
Last Updated
Mar 31, 2025

Practice Location

Address
22 BRAMHALL ST
State
Maine
ZIP Code
04102-3134
Phone
(207) 871-4078

Authorized Official

Name
LUGENE ANTHONY INZANA
Title
ASSOCIATE CFO
Phone
(207) 662-3538

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Oral & Maxillofacial Surgery

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