Pediatric Dentistry Asleep of Maine
NPI #1487459210 in Scarborough, Maine
Provider Information
- NPI Number
- 1487459210
- Entity Type
- Organization
- Organization Name
- Pediatric Dentistry Asleep of Maine
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PEDIATRIC DENTISTRY ASLEEP GROUP
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 17, 2025
- Last Updated
- Feb 17, 2025
Practice Location
- Address
- 55 SPRING ST
- City
- Scarborough
- State
- Maine
- ZIP Code
- 04074-8926
- Phone
- (857) 200-3312
Authorized Official
- Name
- DR. JOHNNY WANA JOSEPH, DMD
- Title
- PEDIATRIC DENTIST / OWNER
- Phone
- (857) 200-3312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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