Organization
PORTLAND DENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE R DAVIS DMD (PRESIDENT)
(207) 797-5000
Entity
Organization
Contact information
Practice address
315 AUBURN ST, PORTLAND, ME 04103-2179
(207) 797-5000
Mailing address
315 AUBURN ST, PORTLAND, ME 04103-2179
(207) 797-5000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
10/15/2007
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