| Lisbon Family Dental Care | |
|
568 Lisbon St Suite 1 Lisbon Falls ME 04252-1138 | |
| (207) 407-4301 | |
| Not Available |
| Full Name | Lisbon Family Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 568 Lisbon St, Lisbon Falls, Maine |
| Authorized Official Name and Position | Jenna Pulkka (DENTIST) |
| Authorized Official Contact | 2077519404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisbon Family Dental Care 244 Veranda St Unit 2 Portland ME 04103-5554 Ph: () - | Lisbon Family Dental Care 568 Lisbon St Suite 1 Lisbon Falls ME 04252-1138 Ph: (207) 407-4301 |
| NPI Number | 1083003255 |
|---|---|
| Provider Enumeration Date | 01/12/2015 |
| Last Update Date | 01/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083003255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4065 (Maine) | Primary |