Individual
CORY ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 CONGRESS ST, PORTLAND, ME 04102-2161
(207) 775-1401
Mailing address
1250 CONGRESS ST, PORTLAND, ME 04102-2161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4182
ME
Other
Enumeration date
04/12/2010
Last updated
11/20/2017
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