State Street Dental Care, P.a.

NPI #1205597184 in Augusta, Maine

Provider Information

NPI Number: 1205597184
Entity Type: Organization
Organization Name: State Street Dental Care, P.a.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 4, 2022
Last Updated: Jan 4, 2022

Practice Location

Address: 278 STATE ST
City: Augusta
State: Maine
ZIP Code: 04330-6914
Phone: (207) 622-9215

Authorized Official

Name: DR. RANDALL PETER CUTRI, DMD
Title: PRESIDENT
Phone: (207) 622-9215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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