| Roots Dental, Pllc | |
|
191 Marginal Way Ste C Portland ME 04101-3387 | |
| (617) 297-8232 | |
| Not Available |
| Full Name | Roots Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 191 Marginal Way Ste C, Portland, Maine |
| Authorized Official Name and Position | Daniel Figueiredo (DENTIST/OWNER) |
| Authorized Official Contact | 6172978232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Dental, Pllc 11 Champagne Ln Freeport ME 04032-6908 Ph: (617) 297-8232 | Roots Dental, Pllc 191 Marginal Way Ste C Portland ME 04101-3387 Ph: (617) 297-8232 |
| NPI Number | 1598396350 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598396350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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