Individual
DR. ANDREW MICHEL ATHANATHIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
77 SOUTH ST, GORHAM, ME 04038-1715
(207) 222-0522
Mailing address
723 RIVERSIDE ST APT 434, PORTLAND, ME 04103-5937
(647) 780-7938
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4989
ME
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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