Organization
MAINE MEDICAL PARTNERS
Active
Other names
MMC ORAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J KASABIAN (PRESIDENT)
(207) 761-0650
Entity
Organization
Contact information
Practice address
22 BRAMHALL ST, DEPT OF SURGERY, PORTLAND, ME 04102-3134
(207) 871-4078
(207) 871-6389
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-8198
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
09/12/2006
Last updated
08/22/2020
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