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Organization

PEDIATRIC DENTISTRY ASLEEP OF MAINE

Active
Parent organization
PEDIATRIC DENTISTRY ASLEEP GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEDIATRIC DENTISTRY ASLEEP GROUP
Authorized official
DR. JOHNNY WANA JOSEPH DMD (PEDIATRIC DENTIST / OWNER)
(857) 200-3312
Entity
Organization

Contact information

Practice address
55 SPRING ST, SCARBOROUGH, ME 04074-8926
(857) 200-3312
Mailing address
500 N LEWIS RUN RD STE 215A, WEST MIFFLIN, PA 15122-3009
(857) 200-3312

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
02/17/2025
Last updated
02/17/2025
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