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Jetport Denture Center Inc.
Denturist in Portland, Maine
NPI 1922723543

Jetport Denture Center Inc. is a Denturist based in Portland, ME. Jetport Denture Center Inc. practices in Portland, ME. The NPI Number for Jetport Denture Center Inc. is 1922723543 and holds a License No. (Maine).

The current practice location address for Jetport Denture Center Inc. is 980 Forest Ave Ste 104, Portland, ME and can be reached out via phone at 207-774-7645 and via fax at 207-828-5298.

Location: 980 Forest Ave Ste 104, Portland, ME, 04103-3357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922723543
Provider Name
Jetport Denture Center Inc.
Credential
Provider Entity Type
Organization
Address
980 Forest Ave Ste 104, Portland, ME, 04103-3357
Phone Number
207-774-7645
Fax Number
207-828-5298
Provider Enumeration Date
10/06/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DTR5001 01 ME STATE OF MAINE DENTURIST LICENSE
institution
Provider Business Practice Location Address Details
Address
980 Forest Ave Ste 104
City
Portland
State
Maine
Zip
04103-3357
Phone Number
207-774-7645
Fax Number
207-828-5298
person
Provider Business Mailing Address Details
Address
980 Forest Ave Ste 104
City
Portland
State
Maine
Zip
04103-3357
Phone Number
207-774-7645
Fax Number
207-828-5298
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
()
Definition
Definition to come.
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