Portland Dental Health Care

NPI #1639110349 in Portland, Maine

Provider Information

NPI Number
1639110349
Entity Type
Organization
Organization Name
Portland Dental Health Care
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 10, 2006
Last Updated
Oct 15, 2007

Practice Location

Address
315 AUBURN ST
State
Maine
ZIP Code
04103-2179
Phone
(207) 797-5000

Authorized Official

Name
MICHELLE R DAVIS, DMD
Title
PRESIDENT
Phone
(207) 797-5000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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