Roosevelt Dental, P.a.

NPI 1194084731 - Dentist - 1223G0001X

NPI Details
NPI 1194084731
Enumeration Date 05/15/2012
Last Updated 05/15/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name EUGENE EUGENE
Position OWNER
Phone (207) 894-5580
Fax (207) 894-5590
Practice Location
840 ROOSEVELT TRL
WINDHAM ME, 04062-5375, US
Phone (207) 894-5580
Fax (207) 894-5590
Business Location
840 ROOSEVELT TRL
WINDHAM ME, 04062-5375, US
Phone (207) 894-5580
Fax (207) 894-5590
Toxanomy
Taxonomy Code 1223G0001X
License State Maine
License Number 4101
Remove 1194084731 NPI Number
 

According to our database, Roosevelt Dental, P.a. NPI is 1194084731, taxonomy code is 1223G0001X and license number is 4101, license state is located at Maine. Roosevelt Dental, P.a. physically located at 840 Roosevelt Trl, Windham ME, 04062-5375. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1194084731 NPI number is provided on an as is basis without warranty of any kind. 1194084731 is maintained by the National Plan & Provider Enumeration System. The contents of Roosevelt Dental, P.a. are for informational purposes only.