Albert Frederick Lacivita, DDS

NPI #1851320089 in Belfast, Maine

Provider Information

NPI Number: 1851320089
Entity Type: Individual
Name: Albert Frederick Lacivita, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 19 FAHEY ST
City: Belfast
State: Maine
ZIP Code: 04915-6028
Phone: (207) 338-3669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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