Organization
ERNST DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY ERNST D.M.D. (OWNER DENTIST)
(617) 595-8023
Entity
Organization
Contact information
Practice address
1250 CONGRESS ST, PORTLAND, ME 04102-2161
(207) 775-1401
Mailing address
1250 CONGRESS ST, PORTLAND, ME 04102-2161
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN4182
ME
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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