Organization
DENTAL ARTS OF PORTLAND
Active
Other names
Dental Arts Biddeford
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX A MAZURENKO DMD (OWNER)
(207) 773-2111
Entity
Organization
Contact information
Practice address
2401 CONGRESS ST, SUITE # 2, PORTLAND, ME 04102-1932
(207) 773-2111
Mailing address
2401 CONGRESS ST STE 2, PORTLAND, ME 04102-1969
(207) 773-2111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
ME3595
ME
Other
Enumeration date
05/15/2007
Last updated
10/04/2011
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