| Dental Wellness Pa Llc | |
|
295 Forest Ave Portland ME 04101-2018 | |
| (207) 370-0575 | |
| Not Available |
| Full Name | Dental Wellness Pa Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 295 Forest Ave, Portland, Maine |
| Authorized Official Name and Position | Eugene Kim (DENTIST/OWNER) |
| Authorized Official Contact | 2072743167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Wellness Pa Llc 105 Range Rd Cumberland Center ME 04021-3433 Ph: (207) 274-3167 | Dental Wellness Pa Llc 295 Forest Ave Portland ME 04101-2018 Ph: (207) 370-0575 |
| NPI Number | 1699421800 |
|---|---|
| Provider Enumeration Date | 02/25/2022 |
| Last Update Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699421800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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