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Alexandra Y Peacock Cathcart Dmd LLC

Dentist, General Practice in Portland, ME. Organization (NPI-2).

NPI number1154446672
StatusActive
Last updated in NPPESJun 27, 2024

Details

NPI
1154446672
Entity type
Organization (NPI-2)
Legal business name
Alexandra Y Peacock Cathcart Dmd LLC
Organization subpart
No
Enumeration date
Mar 21, 2007
Certification date
Nov 30, 2020
Last updated
Jun 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice3047MEYes

Other names

  • Coastal Family Dental (Doing Business As)

Practice location

110 Auburn Street
Portland, ME 04103

Phone 207-797-7433 · Fax 207-797-7720

Mailing address

110 Auburn Street
Portland, ME 04103

Phone 207-797-7433 · Fax 207-797-7720

Authorized official

Alexandra Yamva Peacock Cathcart
Owner
4134466346

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