Individual
TAMER GEORGE I THEODORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
UNIVERSITY OF NEW ENGLAND COLLEGE OF DENTAL MEDICINE, 716 STEVENS AVENUE, PORTLAND, ME 04103
(207) 221-4863
Mailing address
UNIVERSITY OF NEW ENGLAND COLLEGE OF DENTAL MEDICINE, 716 STEVENS AVENUE, PORTLAND, ME 04103
(207) 221-4863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
FDN23
ME
390200000X
Student in an Organized Health Care Education/Training Program
30451
IA
Other
Enumeration date
09/25/2015
Last updated
06/27/2022
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