Organization
CREATIVE DENTAL LLC
Active
Other names
Creative Dental Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEE (COO)
(732) 207-1689
Entity
Organization
Contact information
Practice address
1407 BROADWAY, BANGOR, ME 04401-2403
(207) 942-3000
(207) 992-4054
Mailing address
290 BRIDGTON RD STE 2, WESTBROOK, ME 04092-3754
(732) 207-1689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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