Cosmetic & General Dentistry of Winthrop

NPI #1407029184 in Winthrop, Maine

Provider Information

NPI Number
1407029184
Entity Type
Organization
Organization Name
Cosmetic & General Dentistry of Winthrop
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 2, 2008
Last Updated
Apr 2, 2008

Practice Location

Address
28 OLD WESTERN AVE
State
Maine
ZIP Code
04364-4060
Phone
(207) 377-6958

Authorized Official

Name
DR. JAY R WIETECHA, DMD
Title
OWNER
Phone
(207) 377-6958

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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