260 MAIN ST PORTLAND INC

PORTLAND, CT
NPI1659946085
Entity TypeOrganization
Authorized ContactLONGQIAN WANG
President
929-285-8883
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2021-05-27
Last Update Date2021-05-27
Business Address
260 MAIN ST PORTLAND INC
260 MAIN ST
PORTLAND, CT 06480-1859
Phone number: 860-342-2176
Mailing Address
260 MAIN ST PORTLAND INC
902 POST RD
SCARSDALE, NY 10583-5544
Phone number: