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Gorham Village Dental Llc
Dental Clinic/Center in Gorham, Maine
NPI 1174184253

Gorham Village Dental Llc is a Dental Clinic/Center based in Gorham, ME and is specialized in Dental. Gorham Village Dental Llc practices in Gorham, ME. The NPI Number for Gorham Village Dental Llc is 1174184253 and holds a License No. (Maine).

The current practice location address for Gorham Village Dental Llc is 77 South St, Gorham, ME and can be reached out via phone at 207-642-4300.

Location: 77 South St, Gorham, ME, 04038-1715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174184253
Provider Name
Gorham Village Dental Llc
Credential
Provider Entity Type
Organization
Address
77 South St, Gorham, ME, 04038-1715
Phone Number
207-642-4300
Fax Number
Provider Enumeration Date
06/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
77 South St
City
Gorham
State
Maine
Zip
04038-1715
Phone Number
207-642-4300
Fax Number
person
Provider Business Mailing Address Details
Address
77 South St
City
Gorham
State
Maine
Zip
04038-1715
Phone Number
207-642-4300
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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