Organization
PORTLAND CENTER FOR DENTISTRY LLC
Active
Other names
Portland Center For Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEE (COO)
(732) 207-1689
Entity
Organization
Contact information
Practice address
612 BRIGHTON AVE STE 1, PORTLAND, ME 04102-2359
(207) 560-9057
Mailing address
290 BRIDGTON RD STE 2, WESTBROOK, ME 04092-3754
(732) 207-1689
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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