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812 Stevens Ave Portland ME 04103-2645 | |
| (207) 797-0541 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 812 Stevens Ave, Portland, Maine |
| Authorized Official Name and Position | Barry Craig Saltz (DENTIST) |
| Authorized Official Contact | 2077970541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
812 Stevens Ave Portland ME 04103-2645 Ph: (207) 797-0541 | 812 Stevens Ave Portland ME 04103-2645 Ph: (207) 797-0541 |
| NPI Number | 1477756070 |
|---|---|
| Provider Enumeration Date | 06/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477756070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3040 (Maine) | Primary |
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