Ghanem Dental Pllc

NPI #1396423117 in Ellsworth, Maine

Provider Information

NPI Number
1396423117
Entity Type
Organization
Organization Name
Ghanem Dental Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 11, 2023
Last Updated
Sep 14, 2023

Practice Location

Address
206 HIGH ST STE D
State
Maine
ZIP Code
04605-1741
Phone
(207) 669-4826

Authorized Official

Name
MICHELLE JACOMINO-BARNES
Title
DIRECTOR CREDENTIALING & ENROLLMENT
Phone
(813) 270-9497

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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