| Montshire Portland Pc | |
|
193 Middle St Portland ME 04101-4076 | |
| (641) 780-7792 | |
| Not Available |
| Full Name | Montshire Portland Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 193 Middle St, Portland, Maine |
| Authorized Official Name and Position | Colin Boswell (OWNER) |
| Authorized Official Contact | 6417807792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montshire Portland Pc 193 Middle St Portland ME 04101-4076 Ph: () - | Montshire Portland Pc 193 Middle St Portland ME 04101-4076 Ph: (641) 780-7792 |
| NPI Number | 1710708649 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710708649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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