Interdent LLC

NPI #1992099311 in Augusta, Maine

Provider Information

NPI Number: 1992099311
Entity Type: Organization
Organization Name: Interdent LLC
Primary Specialty: Dentist
Enumeration Date: Jun 2, 2011
Last Updated: Jun 2, 2011

Practice Location

Address: 12 SHUMAN AVE
City: Augusta
State: Maine
ZIP Code: 04330-6020
Phone: (207) 623-7580

Authorized Official

Name: DR. GLEN FREDERIC ABBOTT II, D.D.S.
Title: PRESIDENT
Phone: (207) 776-9776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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