Standish Denture Center LLC

NPI #1164714812 in Standish, Maine

Provider Information

NPI Number: 1164714812
Entity Type: Organization
Organization Name: Standish Denture Center LLC
Primary Specialty: Denturist
Enumeration Date: May 12, 2011
Last Updated: Jun 2, 2011

Practice Location

Address: 178 CAPE RD
City: Standish
State: Maine
ZIP Code: 04084-6147
Phone: (207) 642-2310

Authorized Official

Name: MR. PAUL MICHAEL LEVASSEUR, DENTURIST
Title: OWNER
Phone: (207) 642-2310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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