Foreside Family Dental Pllc

NPI #1376931782 in Kittery, Maine

Provider Information

NPI Number: 1376931782
Entity Type: Organization
Organization Name: Foreside Family Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 7, 2015
Last Updated: Jan 7, 2015

Practice Location

Address: 23 WALKER ST
City: Kittery
State: Maine
ZIP Code: 03904-1728
Phone: (207) 439-2310

Authorized Official

Name: ALEXIS HALLISSEY
Title: OWNER
Phone: (302) 354-0155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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