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1164640017
ASPEN DENTAL OF MAINE PC
PORTLAND, ME
NPI
1164640017
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Entity Type
Organization
Authorized Contact
ISAM HAMATI
Mcd
315-454-6000
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2007-04-23
Last Update Date
2020-08-22
Business Address
ASPEN DENTAL OF MAINE PC
1036 BRIGHTON AVE
PORTLAND, ME 04102-1030
Phone number: 207-773-2150
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Mailing Address
ASPEN DENTAL OF MAINE PC
PO BOX 3189
SYRACUSE, NY 13220-3189
Phone number:
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