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1508350307
MATTIE PARADISE
PORTLAND, ME
NPI
1508350307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ME DEN4626)
Enumeration Date
2018-06-15
Last Update Date
2018-06-15
Business Address
Dr. MATTIE PARADISE DDS
190 PARK AVE
PORTLAND, ME 04102-2910
Phone number: 207-874-1028
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Mailing Address
Dr. MATTIE PARADISE DDS
324 SHORE RD
OGUNQUIT, ME 03907-3902
Phone number:
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