Frederick R Molander, Dmd, Pa | |
1250 Congress St Portland ME 04102-2161 | |
(207) 775-1401 | |
(207) 773-4990 |
Full Name | Frederick R Molander, Dmd, Pa |
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Speciality | Dentist - General Practice |
Location | 1250 Congress St, Portland, Maine |
Authorized Official Name and Position | Frederick R Molander (OWNER) |
Authorized Official Contact | 2077751401 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Frederick R Molander, Dmd, Pa 1250 Congress St Portland ME 04102-2161 Ph: (207) 775-1401 | Frederick R Molander, Dmd, Pa 1250 Congress St Portland ME 04102-2161 Ph: (207) 775-1401 |
NPI Number | 1598042640 |
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Provider Enumeration Date | 11/03/2011 |
Last Update Date | 11/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598042640 | NPI | - | NPPES |
114030000 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2423 (Maine) | Primary |
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