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1194084731
ROOSEVELT DENTAL, P.A.
WINDHAM, ME
NPI
1194084731
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Entity Type
Organization
Authorized Contact
EUGENE KIM
Owner
207-894-5580
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ME 4101)
Enumeration Date
2012-05-15
Last Update Date
2012-05-15
Business Address
ROOSEVELT DENTAL, P.A.
840 ROOSEVELT TRL
WINDHAM, ME 04062-5375
Phone number: 207-894-5580
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Mailing Address
ROOSEVELT DENTAL, P.A.
840 ROOSEVELT TRL
WINDHAM, ME 04062-5375
Phone number: 207-894-5580
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