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Individual

DR. BENJAMIN LAWLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
31 PORTLAND RD, GRAY, ME 04039
(207) 657-3553
Mailing address
5 S MAIN ST, BREWER, ME 04412-2111
(207) 989-0819

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4435
ME

Other

Enumeration date
06/04/2015
Last updated
05/21/2018
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