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1710755590
GANNETT DRIVE DENTAL PLLC
SOUTH PORTLAND, ME
NPI
1710755590
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Entity Type
Organization
Authorized Contact
JENNIFER GAGNON
Owner
603-387-5658
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-12-12
Last Update Date
2023-12-12
Business Address
GANNETT DRIVE DENTAL PLLC
324 GANNETT DR STE 500
SOUTH PORTLAND, ME 04106-3361
Phone number: 207-253-5600
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Mailing Address
GANNETT DRIVE DENTAL PLLC
10 SUSAN AVE
SCARBOROUGH, ME 04074-9726
Phone number: 603-387-5658
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