| NPI | 1841958139 |
|---|---|
| Doing Business As | PORTLAND NORTH DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER D POCHEBIT Member/Dentist 207-329-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |