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Organization

MORGAN DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THEODORE MOGAN DR. (DOCTOR)
(207) 839-2655
Entity
Organization

Contact information

Practice address
94 MAIN ST, UNIT 1, GORHAM, ME 04038-1340
(207) 839-2655
(207) 839-5828
Mailing address
94 MAIN ST, UNIT 1, GORHAM, ME 04038-1340
(207) 839-2655
(207) 839-5828

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2235
ME

Other

Enumeration date
06/20/2008
Last updated
06/20/2008
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