Organization
DENTAL WELLNESS PA LLC
Active
Other names
Dental Wellness of Portland
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE KIM DDS (DENTIST/OWNER)
(207) 274-3167
Entity
Organization
Contact information
Practice address
295 FOREST AVE, PORTLAND, ME 04101-2018
(207) 370-0575
Mailing address
105 RANGE RD, CUMBERLAND CENTER, ME 04021-3433
(207) 274-3167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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