Organization
NARRAGANSETT TRAIL, LLC
Active
Other names
Torry Hill Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHILO ANNIS DMD (OWNER)
(207) 272-9847
Entity
Organization
Contact information
Practice address
175 NARRAGANSETT TRL, BUXTON, ME 04093-6139
(207) 272-9847
Mailing address
5 MIDNIGHT LN, GORHAM, ME 04038-2376
(207) 272-9847
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2021
Last updated
12/29/2021
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