Organization
PORTLAND SMILES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN BUSS DDS (DENTIST)
(207) 773-2111
Entity
Organization
Contact information
Practice address
2401 CONGRESS ST, PORTLAND, ME 04102-1970
(207) 773-2111
Mailing address
2401 CONGRESS ST, PORTLAND, ME 04102-1970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4433
ME
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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