Western Maine Dentistry, PA

NPI #1376878199 in Norway, Maine

Provider Information

NPI Number: 1376878199
Entity Type: Organization
Organization Name: Western Maine Dentistry, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 13, 2009
Last Updated: Oct 13, 2009

Practice Location

Address: 193 MAIN ST
City: Norway
State: Maine
ZIP Code: 04268-5645
Phone: (207) 743-2649

Authorized Official

Name: DR. GLENN TYLER WOOD, D.M.D.
Title: DENTIST
Phone: (207) 743-2649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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