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1932329943
PERIODONTAL ASSOCIATES
PORTLAND, ME
NPI
1932329943
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Entity Type
Organization
Authorized Contact
GEORGE D GORDON
President
207-772-7459
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: ME 2204)
Enumeration Date
2007-05-01
Last Update Date
2020-08-22
Business Address
PERIODONTAL ASSOCIATES
612 BRIGHTON AVE
PORTLAND, ME 04102-2359
Phone number: 207-772-7459
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Mailing Address
PERIODONTAL ASSOCIATES
612 BRIGHTON AVE
PORTLAND, ME 04102-2359
Phone number: 207-772-7459
Copy
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