Organization
SMILE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMESON LOUIS HARDY DMD (ORTHODONTIST)
(207) 852-0523
Entity
Organization
Contact information
Practice address
163 FORE ST STE A, PORTLAND, ME 04101-6806
(207) 352-3111
Mailing address
163 FORE ST STE A, PORTLAND, ME 04101-6806
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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