Individual
MR. MICHAEL KENNETH STEWART FIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.D
Contact information
Practice address
1364 MAIN ST, SUITE 13, BOX 15, SANFORD, ME 04073-3660
(207) 324-4611
(207) 324-4628
Mailing address
1364 MAIN STREET, SUITE 13, BOX 15, SANFORD, ME 04073-3660
(207) 324-4611
(207) 324-4628
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
5505
ME
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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