Gorham Family And Cosmetic Dentistry Pc | |
347 Main St Gorham ME 04038-1338 | |
(207) 839-3006 | |
(207) 839-4593 |
Full Name | Gorham Family And Cosmetic Dentistry Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 347 Main St, Gorham, Maine |
Authorized Official Name and Position | Christopher W Pidhajecky (OWNER) |
Authorized Official Contact | 2078393006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gorham Family And Cosmetic Dentistry Pc 347 Main St Gorham ME 04038-1338 Ph: (207) 839-3006 | Gorham Family And Cosmetic Dentistry Pc 347 Main St Gorham ME 04038-1338 Ph: (207) 839-3006 |
NPI Number | 1770831224 |
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Provider Enumeration Date | 08/15/2012 |
Last Update Date | 08/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770831224 | NPI | - | NPPES |
1235348749 | Other | ME | GENERAL DENTIST |
1396853156 | Other | ME | GENERAL DENTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4251 (New York) | Primary |
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