Kennebec Valley Family Dentistry

NPI #1114153939 in Augusta, Maine

Provider Information

NPI Number: 1114153939
Entity Type: Organization
Organization Name: Kennebec Valley Family Dentistry
Primary Specialty: Point of Service
Enumeration Date: Jun 8, 2009
Last Updated: Nov 20, 2019

Practice Location

Address: 269 WATER ST
City: Augusta
State: Maine
ZIP Code: 04330-4645
Phone: (207) 623-3400

Authorized Official

Name: MS. KIMBERLEY GORDON
Title: EXECUTIVE DIRECTOR
Phone: (207) 623-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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