| Mlh Llc | |
|
31 Commerce Park Ellsworth ME 04605 | |
| (207) 667-2770 | |
| (207) 667-2770 |
| Full Name | Mlh Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31 Commerce Park, Ellsworth, Maine |
| Authorized Official Name and Position | Marc Lance Horowitz (OWNER) |
| Authorized Official Contact | 2076672770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlh Llc Po Box 605 Ellsworth ME 04605-0605 Ph: (207) 667-2770 | Mlh Llc 31 Commerce Park Ellsworth ME 04605 Ph: (207) 667-2770 |
| NPI Number | 1306081666 |
|---|---|
| Provider Enumeration Date | 12/15/2008 |
| Last Update Date | 12/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306081666 | NPI | - | NPPES |
| 289000099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3679 (Maine) | Primary |
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