Foreside Dental Health Care, PA
Dentist, General Practice in Falmouth, ME. Organization (NPI-2).
NPI number1013036615
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1013036615
- Entity type
- Organization (NPI-2)
- Legal business name
- Foreside Dental Health Care, PA
- Organization subpart
- No
- Enumeration date
- Mar 28, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | ME | Yes |
Practice location
3 Fundy RdFalmouth, ME 04105-1796
Phone 207-781-2054 · Fax 207-781-7133
Mailing address
3 Fundy RdFalmouth, ME 04105-1796
Phone 207-781-2054 · Fax 207-781-7133
Authorized official
Alan J Avtges
Owner
2077812054
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