Mary Berube Leblanc, DMD Valid NPI
Individual provider · Dentist · Portland, ME
- NPI
- 1912065798
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 3316 (ME)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-12-05
- Last updated
- 2007-07-08
Practice location
276 Canco Rd
Portland, ME 04103-4351
(207) 874-1025