Alan B. Rich, Jr. Dmd PA
Dentist, General Practice in Portland, ME. Organization (NPI-2).
NPI number1881205219
StatusActive
Last updated in NPPESAug 10, 2020
Details
- NPI
- 1881205219
- Entity type
- Organization (NPI-2)
- Legal business name
- Alan B. Rich, Jr. Dmd PA
- Organization subpart
- No
- Enumeration date
- Aug 10, 2020
- Certification date
- Aug 10, 2020
- Last updated
- Aug 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
163 Pleasant AvePortland, ME 04103-3242
Phone 207-771-2093
Mailing address
163 Pleasant AvePortland, ME 04103-3242
Phone 207-771-2093
Authorized official
Alan B Rich
President
2077712093
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