Family Preventive Dental Care, P.a.

NPI #1912113010 in Falmouth, Maine

Provider Information

NPI Number: 1912113010
Entity Type: Organization
Organization Name: Family Preventive Dental Care, P.a.
Primary Specialty: Dentist
Enumeration Date: May 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 251 US ROUTE 1
City: Falmouth
State: Maine
ZIP Code: 04105-1322
Phone: (207) 781-4625

Authorized Official

Name: DR. GEOFFREY W WAGNER, D.D.S.
Title: GENERAL DENTIST
Phone: (207) 781-4625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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