Sanford Familt Dental, LLC

NPI #1427390491 in Sanford, Maine

Provider Information

NPI Number
1427390491
Entity Type
Organization
Organization Name
Sanford Familt Dental, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 18, 2013
Last Updated
Mar 18, 2013

Practice Location

Address
11 DAIGLE LN
Address 2
SUITE A
State
Maine
ZIP Code
04073-4173
Phone
(207) 324-1345

Authorized Official

Name
DR. DEREK WAYNE JONES, DMD
Title
MEMBER
Phone
(207) 324-1345

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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