NPI 1174184253

Gorham Village Dental LLC

Organisation Dental Clinic/Center Gorham, ME

Practice location

Address: 77 South St, Gorham, ME 04038-1715
Phone: (207) 642-4300

Authorised official

Name: Cory Murray
Title: Co-Owner
Phone: (207) 642-4300

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Maine →

Registry record

NPI: 1174184253
Entity type: Organization
NPI issued: 27 Jun 2019
Record last updated: 27 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.