Individual
MR. ALEX A MAZURENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2401 CONGRESS ST, SUITE #2, PORTLAND, ME 04102-1932
(207) 773-2111
(207) 773-1811
Mailing address
6 COTTONWOOD LN, FALMOUTH, ME 04105
(207) 773-2111
(207) 773-1811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
ME6595
ME
Other
Enumeration date
10/12/2006
Last updated
07/12/2007
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