Individual
DR. WYATT JOHN TRAINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
131 JOHNSON RD STE 4, PORTLAND, ME 04102-1988
(207) 775-6348
Mailing address
43 NEWTON ST, PORTLAND, ME 04103-1523
(207) 380-4671
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DEN4410
ME
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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