Individual
DR. MARC HENRY DELORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1036 BRIGHTON AVE STE A, PORTLAND, ME 04102-1053
(207) 773-2150
Mailing address
1036 BRIGHTON AVE STE A, PORTLAND, ME 04102-1053
(207) 773-2150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4736
ME
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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