Nicole Cividanes Dmd Pllc

NPI #1861944779 in Brewer, Maine

Provider Information

NPI Number: 1861944779
Entity Type: Organization
Organization Name: Nicole Cividanes Dmd Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 26, 2016
Last Updated: Nov 18, 2016

Practice Location

Address: 182 WILSON ST
City: Brewer
State: Maine
ZIP Code: 04412-2028
Phone: (207) 989-1952

Authorized Official

Name: NICOLE CICIDANES, DMD
Title: OWNER
Phone: (207) 989-1952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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