Provider First Line Business Practice Location Address: 
1389 PORTLAND RD
    Provider Second Line Business Practice Location Address: 
TRENTALANGE FAMILY DENTISTRY
    Provider Business Practice Location Address City Name: 
ARUNDEL
    Provider Business Practice Location Address State Name: 
ME
    Provider Business Practice Location Address Postal Code: 
04046
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
207-985-9857
    Provider Business Practice Location Address Fax Number: 
207-985-2042
    Provider Enumeration Date: 
08/13/2008