Organization · Type 2 NPI

Southern Maine Periodontal Assoc PA

Periodontics · Portland, ME

NPI number 1295828069 Active

About NPI 1295828069

Southern Maine Periodontal Assoc PA's National Provider Identifier is 1295828069, issued on Oct 2, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Portland, ME. The record was last updated on Aug 22, 2020.