Organization
THE DENTAL LOFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER KEELING DDS (OWNER DENTIST)
(207) 298-0168
Entity
Organization
Contact information
Practice address
1250 CONGRESS ST, SUITE 2, PORTLAND, ME 04102-2161
(207) 773-2446
Mailing address
1250 CONGRESS ST, SUITE 2, PORTLAND, ME 04102-2161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN 4423
ME
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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