Organization · Type 2 NPI
Gorham Village Dental LLC
Dental Clinic/Center · Gorham, ME
NPI number
1174184253
Active
Practice location
77 South St
Gorham, ME 04038-1715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1174184253
Gorham Village Dental LLC's National Provider Identifier is 1174184253, issued on Jun 27, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Gorham, ME. The record was last updated on Jun 27, 2019.