Randal Joseph Thivierge

NPI #1124327564 in Rockport, Maine

Provider Information

NPI Number
1124327564
Entity Type
Organization
Organization Name
Randal Joseph Thivierge
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 24, 2011
Last Updated
Nov 1, 2011

Practice Location

Address
625 ROCKLAND ST
State
Maine
ZIP Code
04856-5320
Phone
(207) 236-3100

Authorized Official

Name
MS. JODY L LAVOIE
Title
OPERATIONS MANAGER
Phone
(207) 236-3100

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment
Dentist - General PracticeGeneral Practice

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