Organization
DENTAL SPECIALISTS OF PORTLAND
Active
Parent organization
DENTAL SPECIALISTS OF YARMOUTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL SPECIALISTS OF YARMOUTH, LLC
Authorized official
MISS MARCIE PAULINE PHILLIPS (PRACTICE MANAGER)
(207) 879-0010
Entity
Organization
Contact information
Practice address
1355 CONGRESS ST, SUITE A, PORTLAND, ME 04102-2160
(207) 879-0010
(207) 879-0011
Mailing address
1355 CONGRESS ST, SUITE A, PORTLAND, ME 04102-2160
(207) 879-0010
(207) 879-0011
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3810
ME
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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