SOUTHERN MAINE ORAL AND MAXILLOFACIAL SURGERY PA

SOUTH PORTLAND, ME
NPI1831256338
Entity TypeOrganization
Authorized ContactRICHARD W CRAWFORD
Owner
207-774-2611
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2007-01-03
Last Update Date2020-08-22
Business Address
SOUTHERN MAINE ORAL AND MAXILLOFACIAL SURGERY PA
440 WESTERN AVENUE
SOUTH PORTLAND, ME 04106
Phone number: 207-774-2611
Mailing Address
SOUTHERN MAINE ORAL AND MAXILLOFACIAL SURGERY PA
440 WESTERN AVENUE
SOUTH PORTLAND, ME 04106
Phone number: 207-774-2611
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