Organization · Type 2 NPI
260 Main ST Portland Inc
Dental Clinic/Center · Portland, CT
NPI number
1659946085
Active
Practice location
260 Main St
Portland, CT 06480-1859
Mailing address
902 Post Rd
Scarsdale, NY 10583-5544
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 1659946085
260 Main ST Portland Inc's National Provider Identifier is 1659946085, issued on May 27, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, CT. The record was last updated on May 27, 2021.