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Organization
MAINE PROSTHODONTICS
Active
Organization
MAINE PROSTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK A MUSCIANO DDS (OFFICIAL)
(207) 773-6177
Entity
Organization
Contact information
Practice address
1250 FOREST AVENUE, PORTLAND, ME 04103
(207) 773-6177
(207) 773-6552
Mailing address
1250 FOREST AVENUE, PORTLAND, ME 04103
(207) 773-6177
(207) 773-6552
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
2624
ME
1223P0700X
Prosthodontics
3398
ME
1223P0700X
Prosthodontics
Primary
3784
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293730099
—
ME
05
—
431940999
—
ME
05
—
432010199
—
ME
Enumeration date
06/04/2007
Last updated
11/06/2013
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