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Organization
PORTLAND CENTER FOR DENTISTRY LLC
Active
Organization
PORTLAND CENTER FOR DENTISTRY LLC
Active
Other names
Portland Center For Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEE (COO)
(732) 207-1689
Entity
Organization
Contact information
Practice address
612 BRIGHTON AVE STE 1, PORTLAND, ME 04102-2359
(207) 560-9057
Mailing address
290 BRIDGTON RD STE 2, WESTBROOK, ME 04092-3754
(732) 207-1689
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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