Nicole Cividanes Dmd PLLC
Dentist in Brewer, ME. Organization (NPI-2).
NPI number1861944779
StatusActive
Last updated in NPPESNov 18, 2016
Details
- NPI
- 1861944779
- Entity type
- Organization (NPI-2)
- Legal business name
- Nicole Cividanes Dmd PLLC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2016
- Last updated
- Nov 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
182 Wilson StBrewer, ME 04412-2028
Phone 207-989-1952
Mailing address
182 Wilson StBrewer, ME 04412-2028
Phone 207-989-1952
Authorized official
Nicole Cicidanes
Owner
2079891952
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