Organization
THE ROOT CELLAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A IRIANA DDS (DENTIST)
(207) 774-3197
Entity
Organization
Contact information
Practice address
94 WASHINGTON ST., PORTLAND, ME 04104
(207) 774-3197
(207) 874-0140
Mailing address
94 WASHINTON ST., PORTLAND, ME 04104
(207) 774-3197
(207) 874-0140
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
2684
ME
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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