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1437198397
CHARLES ANTHONY ISELBORN
PORTLAND, ME
NPI
1437198397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ME 3136)
Enumeration Date
2006-06-06
Last Update Date
2007-07-08
Business Address
Dr. CHARLES ANTHONY ISELBORN dds
149 BRIGHTON AVE
PORTLAND, ME 04102-2312
Phone number: 207-774-0546
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Mailing Address
Dr. CHARLES ANTHONY ISELBORN dds
149 BRIGHTON AVE
PORTLAND, ME 04102-2312
Phone number: 207-774-0546
Copy
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