Aspen Dental Of Maine Pc | |
1036 Brighton Ave Portland ME 04102-1030 | |
(207) 773-2150 | |
Not Available |
Full Name | Aspen Dental Of Maine Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 1036 Brighton Ave, Portland, Maine |
Authorized Official Name and Position | Isam Hamati (MCD) |
Authorized Official Contact | 3154546000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aspen Dental Of Maine Pc Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Aspen Dental Of Maine Pc 1036 Brighton Ave Portland ME 04102-1030 Ph: (207) 773-2150 |
NPI Number | 1164640017 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164640017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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