Fortin Denture Clinic LLC

NPI #1053141382 in Augusta, Maine

Provider Information

NPI Number: 1053141382
Entity Type: Organization
Organization Name: Fortin Denture Clinic LLC
Primary Specialty: Denturist
Enumeration Date: Aug 2, 2024
Last Updated: Aug 2, 2024

Practice Location

Address: 2689 N BELFAST AVE
City: Augusta
State: Maine
ZIP Code: 04330-0204
Phone: (207) 341-0968

Authorized Official

Name: ALLAN JOSEPH FORTIN, LD
Title: PRESIDENT
Phone: (207) 341-0968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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