Individual
DR. MICHAEL SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1006 FOREST AVE, PORTLAND FAMILY DENTAL, PORTLAND, ME 04103-3343
(207) 797-3585
(207) 797-3592
Mailing address
1006 FOREST AVE, PORTLAND FAMILY DENTAL, PORTLAND, ME 04103-3343
(207) 797-3585
(207) 797-3592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3644
ME
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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