State of Maine
NPI #1225374549 in Augusta, Maine
Provider Information
- NPI Number
- 1225374549
- Entity Type
- Organization
- Organization Name
- State of Maine
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 13, 2012
- Last Updated
- May 7, 2019
Practice Location
Authorized Official
- Name
- JAMES MARTIN
- Title
- ASSC. DIRECTOR,OADS
- Phone
- (207) 287-6642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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