Cosmetic & General Dentistry of Winthrop

NPI #1851591630 in Winthrop, Maine

Provider Information

NPI Number
1851591630
Entity Type
Organization
Organization Name
Cosmetic & General Dentistry of Winthrop
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 20, 2007
Last Updated
Jul 20, 2007

Practice Location

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

Authorized Official

Name
DR. JAY R WIETECHA, F.A.G.D.
Title
PROPRIETOR
Phone
(207) 377-6958

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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