Atlantic Orthodontic Center
Dentist, Orthodontics and Dentofacial Orthopedics in York, ME. Organization (NPI-2).
NPI number1124125380
StatusActive
Last updated in NPPESDec 16, 2009
Details
- NPI
- 1124125380
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlantic Orthodontic Center
- Organization subpart
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Dec 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 3676 | ME | Yes |
Practice location
11 Brickyard LnYork, ME 03909-1604
Phone 207-363-7270
Mailing address
11 Brickyard LnYork, ME 03909-1604
Phone 207-363-7270
Authorized official
Tanya Glidden
Owner
2073637270
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