JEFFREY RAYMOND WALAWENDER

PORTLAND, ME
NPI1558676056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ME  4153)
Enumeration Date2010-08-10
Last Update Date2010-08-10
Business Address
-- JEFFREY RAYMOND WALAWENDER DDS
640 BRIGHTON AVE
PORTLAND, ME 04102-1047
Phone number: 207-874-1028
Mailing Address
-- JEFFREY RAYMOND WALAWENDER DDS
276 CANCO RD
PORTLAND, ME 04103-4351
Phone number: 207-874-1025
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