KELLY CARBONE, LD

Denturist

Active Individual
NPI: 1417287244

Practice Address

980 FOREST AVE STE 104
Portland, ME 04103

Phone: (207) 774-7645

Specialties

Specialty Code Primary License
Denturist 122400000X Yes 5024 (ME)

Frequently Asked Questions

NPI 1417287244 is the National Provider Identifier for KELLY CARBONE, LD, a Denturist provider located in Portland, ME. This NPI was enumerated on December 29, 2009.
KELLY CARBONE, LD practices at 980 FOREST AVE STE 104, Portland, ME 04103.

Quick Facts

NPI
1417287244
Type
Individual
Enumerated
Dec 29, 2009
Last Updated
Mar 21, 2013

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