Organization
PORTLAND FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SUNDBERG D.D.S. (DIRECTOR)
(207) 797-3585
Entity
Organization
Contact information
Practice address
1006 FOREST AVE, PORTLAND, ME 04103-3343
(207) 797-3585
Mailing address
1006 FOREST AVE, PORTLAND, ME 04103-3343
(207) 797-3585
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3644
ME
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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