Organization
HERMON FAMILY DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN G PHILLIPS DDS (OWNER)
(207) 848-2555
Entity
Organization
Contact information
Practice address
2402 ROUTE 2, SUITE E, HERMON, ME 04401-0665
(207) 848-2555
(207) 848-9012
Mailing address
2402 ROUTE 2, SUITE E, HERMON, ME 04401-0665
(207) 848-2555
(207) 848-9012
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4141
ME
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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