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Individual

MICHAEL G TENENBAUM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
650 SEWALL ST, BRANCH HEALTH CLINIC NAVAL AIR STATION, BRUNSWICK, ME 04011-5011
(207) 921-1820
(207) 921-2992
Mailing address
43 SMITH ROAD, PROFESSIONAL AFFAIRS, NEWPORT, RI 02841-1002
(401) 841-4522
(401) 841-4128

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14448
MA

Other

Enumeration date
01/04/2006
Last updated
07/08/2007
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