Organization
ASPEN DENTAL OF MAINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAM HAMATI (MCD)
(315) 454-6000
Entity
Organization
Contact information
Practice address
1036 BRIGHTON AVE, PORTLAND, ME 04102-1030
(207) 773-2150
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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