| Michael Bufo, D.m.d. Llc | |
|
612 Brighton Avenue, Suite 1 Portland ME 04102 | |
| (207) 772-4359 | |
| (207) 772-4990 |
| Full Name | Michael Bufo, D.m.d. Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 612 Brighton Avenue, Suite 1, Portland, Maine |
| Authorized Official Name and Position | Michael Bufo (OWNER) |
| Authorized Official Contact | 2077724359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Bufo, D.m.d. Llc 612 Brighton Avenue, Suite 1 Portland ME 04102 Ph: (207) 772-4359 | Michael Bufo, D.m.d. Llc 612 Brighton Avenue, Suite 1 Portland ME 04102 Ph: (207) 772-4359 |
| NPI Number | 1205171634 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 04/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205171634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3334 (Maine) | Primary |
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