Independent Denture Center PC

NPI #1649580853 in Windham, Maine

Provider Information

NPI Number
1649580853
Entity Type
Organization
Organization Name
Independent Denture Center PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 21, 2010
Last Updated
Oct 21, 2010

Practice Location

Address
530 ROOSEVELT TRL
State
Maine
ZIP Code
04062-4901
Phone
(207) 893-1346

Authorized Official

Name
MS. KELLY CARBONE RICHARDSON, LD
Title
PRESIDENT
Phone
(207) 893-1346

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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