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Individual

ALEXANDRA CINTHIA MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
171 MAINE MALL RD, SOUTH PORTLAND, ME 04106-2310
(207) 775-1551
Mailing address
25 HENLEY ST UNIT 2, SOUTH PORTLAND, ME 04106-2157
(207) 653-8280

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4203
ME

Other

Enumeration date
08/09/2011
Last updated
08/09/2011
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