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Individual

DR. THOMAS W CORWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
650 BRIGHTON AVE, PORTLAND, ME 04102-1035
(207) 773-6331
(207) 773-3701
Mailing address
650 BRIGHTON AVE, PORTLAND, ME 04102-1035
(207) 773-6331
(207) 773-3701

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3306
ME

Other

Enumeration date
06/27/2007
Last updated
07/09/2007
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