Organization
BENCHMARK DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GRANT BELANGER II DMD (OWNER/DENTIST)
(207) 692-6557
Entity
Organization
Contact information
Practice address
104 CORN SHOP LN, FARMINGTON, ME 04938-6401
(207) 778-4200
Mailing address
PO BOX 514, BELGRADE LAKES, ME 04918-0514
(207) 692-6557
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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