Roosevelt Dental, P.a.

NPI #1194084731 in Windham, Maine

Provider Information

NPI Number
1194084731
Entity Type
Organization
Organization Name
Roosevelt Dental, P.a.
Primary Specialty
Dentist - General Practice
Enumeration Date
May 15, 2012
Last Updated
May 15, 2012

Practice Location

Address
840 ROOSEVELT TRL
State
Maine
ZIP Code
04062-5375
Phone
(207) 894-5580

Authorized Official

Name
EUGENE KIM, DDS
Title
OWNER
Phone
(207) 894-5580

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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