LAKESIDE DENTAL LLC

MANCHESTER, ME
NPI1891262804
Entity TypeOrganization
Authorized ContactRYAN SALAMON
Manager
207-310-0842
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2018-10-29
Last Update Date2018-10-29
Business Address
LAKESIDE DENTAL LLC
1051 WESTERN AVE
MANCHESTER, ME 04351-3403
Phone number: 207-310-0842
Mailing Address
LAKESIDE DENTAL LLC
60 WILLOW LN
PORTLAND, ME 04102-2629
Phone number: 207-310-0842
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