Candid Maine PC

NPI #1881209641 in Portland, Maine

Provider Information

NPI Number: 1881209641
Entity Type: Organization
Organization Name: Candid Maine PC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Sep 9, 2020
Last Updated: Sep 9, 2020

Practice Location

Address: 415 CONGRESS ST STE 201
City: Portland
State: Maine
ZIP Code: 04101-3500
Phone: (860) 481-7631

Authorized Official

Name: DR. RICHARD D'AVANZO, DMD
Title: OWNER
Phone: (860) 481-7631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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