Hermon Family Dental, Pa

NPI 1003241654 - Clinic/Center - 261QD0000X

NPI Details
NPI 1003241654
Enumeration Date 09/13/2013
Last Updated 09/13/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BENJAMIN G BENJAMIN
Position OWNER
Phone (207) 848-2555
Fax (207) 848-9012
Practice Location
2402 ROUTE 2
SUITE E
HERMON ME, 04401-0665, US
Phone (207) 848-2555
Fax (207) 848-9012
Business Location
2402 ROUTE 2
SUITE E
HERMON ME, 04401-0665, US
Phone (207) 848-2555
Fax (207) 848-9012
Toxanomy
Taxonomy Code 261QD0000X
License State Maine
License Number 4141
Remove 1003241654 NPI Number
 

According to our database, Hermon Family Dental, Pa NPI is 1003241654, taxonomy code is 261QD0000X and license number is 4141, license state is located at Maine. Hermon Family Dental, Pa physically located at 2402 Route 2, Hermon ME, 04401-0665. NPI Number 1033115704 has the healthcare provider type.

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1003241654 NPI number is provided on an as is basis without warranty of any kind. 1003241654 is maintained by the National Plan & Provider Enumeration System. The contents of Hermon Family Dental, Pa are for informational purposes only.