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Individual

EDWARD JAMES GOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
495 WOODFORD ST, PORTLAND, ME 04103-2438
(207) 772-6966
Mailing address
121 ASHMONT ST, PORTLAND, ME 04103-4001
(339) 223-9457

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4894
ME
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/05/2020
Last updated
11/09/2022
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