Individual
DR. BRUCE JOY PODHOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD ABO
Contact information
Practice address
440 WESTERN AVE, SOUTH PORTLAND, ME 04106
(207) 772-5487
(207) 772-7553
Mailing address
84 ROSEWOOD DRIVE, RAYMOND, ME 04071
(207) 627-9927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3405
ME
122300000X
Dentist
3772
NH
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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