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Organization

FREDERICK R MOLANDER, DMD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERICK R MOLANDER DMD (OWNER)
(207) 775-1401
Entity
Organization

Contact information

Practice address
1250 CONGRESS ST, PORTLAND, ME 04102-2161
(207) 775-1401
(207) 773-4990
Mailing address
1250 CONGRESS ST, PORTLAND, ME 04102-2161
(207) 775-1401
(207) 773-4990

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2423
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114030000
ME
Enumeration date
11/03/2011
Last updated
11/03/2011
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