MD PORTLAND LLC

PORTLAND, ME
NPI1003430711
Entity TypeOrganization
Authorized ContactBEN LAWLOR
Owner
207-307-1793
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-05-29
Last Update Date2020-05-29
Business Address
MD PORTLAND LLC
15 MIDDLE ST # A-C2
PORTLAND, ME 04101-4881
Phone number: 207-307-1793
Mailing Address
MD PORTLAND LLC
PO BOX 850
GRAY, ME 04039-0850
Phone number:
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