SOUTHERN MAINE PEDIATRIC DENTISTRY is a dental clinic center in South Portland, ME. SOUTHERN MAINE PEDIATRIC DENTISTRY NPI is 1184814568. The provider is registered as an organization entity type.
The provider's business location address is:
75 JOHN ROBERTS RD
SUIT 10B
SOUTH PORTLAND, ME
ZIP 04106-914
Phone: (207) 773-3111
The provider's authorized official is Whitney Ralston Wignall .
The authorized official title is Pediatric Dentist and has the following contact phone number (207) 773-3111.
The enumeration date for this NPI number is 7/31/2007 and was last updated on 7/31/2007.