JOHN JOSEPH ILLUMINATI

SOUTH PORTLAND, ME
NPI1225216278
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ME  2953)
Enumeration Date2008-02-01
Last Update Date2008-02-01
Business Address
Dr. JOHN JOSEPH ILLUMINATI DDS
20 LONG CREEK DR
SOUTH PORTLAND, ME 04106
Phone number: 207-761-4010
Mailing Address
Dr. JOHN JOSEPH ILLUMINATI DDS
20 LONG CREEK DR
SOUTH PORTLAND, ME 04106
Phone number: 207-761-4010
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