Organization · Type 2 NPI
MD Portland LLC
Dental Clinic/Center · Portland, ME
NPI number
1003430711
Active
Practice location
15 Middle St # A-C2
Portland, ME 04101-4881
Mailing address
PO Box 850
Gray, ME 04039-0850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1003430711
MD Portland LLC's National Provider Identifier is 1003430711, issued on May 29, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, ME. The record was last updated on May 29, 2020.