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Individual

DR. ALBERT GALLEMIT ABENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2693
(207) 221-4687
Mailing address
716 STEVENS AVE, PORTLAND, ME 04103-2693
(207) 221-4687

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
4465-15
WI
122300000X
Dentist
D4794
ME
122300000X
Dentist
Primary
DEN4794
ME

Other

Enumeration date
03/02/2007
Last updated
06/15/2022
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