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1003986589
PETER RENE THEN
SOUTH PORTLAND, ME
NPI
1003986589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: ME 3628)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
DR. PETER RENE THEN DMD DR MED DENT
254 WESTERN AVENUE
SOUTH PORTLAND, ME 04106
Phone number: 207-774-5527
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Mailing Address
DR. PETER RENE THEN DMD DR MED DENT
19 VAILL POINT ROAD
YARMOUTH, ME 04096
Phone number: 207-846-3281
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