Individual
BENJAMIN WILLIAM MANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
57 SILVER ST APT 4, WATERVILLE, ME 04901-6515
(207) 680-0424
Mailing address
57 SILVER ST APT 4, WATERVILLE, ME 04901-6515
(207) 680-0424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4627
ME
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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