| Mind Your Mouth, Pa, Llc | |
|
225 Waterman Dr South Portland ME 04106-3634 | |
| (207) 200-4106 | |
| Not Available |
| Full Name | Mind Your Mouth, Pa, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 225 Waterman Dr, South Portland, Maine |
| Authorized Official Name and Position | Katherine Paret (MEMBER) |
| Authorized Official Contact | 2077477369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Your Mouth, Pa, Llc 61 Ocean View Ave South Portland ME 04106-3010 Ph: (207) 747-7369 | Mind Your Mouth, Pa, Llc 225 Waterman Dr South Portland ME 04106-3634 Ph: (207) 200-4106 |
| NPI Number | 1316615677 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 09/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316615677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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