Organization
SACO FAMILY DENTISTRY HOLDING LLC
Active
Other names
Saco Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEE (COO)
(732) 207-1689
Entity
Organization
Contact information
Practice address
323 MAIN ST UNIT 2, SACO, ME 04072-1514
(207) 800-9315
Mailing address
1290 CONGRESS ST, PORTLAND, ME 04102-2113
(732) 207-1689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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