State Street Dental Care, P.a. | |
278 State St Augusta ME 04330-6914 | |
(207) 622-9215 | |
Not Available |
Full Name | State Street Dental Care, P.a. |
---|---|
Speciality | Clinic/center - Dental |
Location | 278 State St, Augusta, Maine |
Authorized Official Name and Position | Randall Peter Cutri (PRESIDENT) |
Authorized Official Contact | 2076229215 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
State Street Dental Care, P.a. 278 State St Augusta ME 04330-6914 Ph: (207) 622-9215 | State Street Dental Care, P.a. 278 State St Augusta ME 04330-6914 Ph: (207) 622-9215 |
NPI Number | 1205597184 |
---|---|
Provider Enumeration Date | 01/04/2022 |
Last Update Date | 01/04/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205597184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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