| Candid Maine Pc | |
|
415 Congress St Ste 201 Portland ME 04101-3500 | |
| (860) 481-7631 | |
| Not Available |
| Full Name | Candid Maine Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 415 Congress St Ste 201, Portland, Maine |
| Authorized Official Name and Position | Richard D'avanzo (OWNER) |
| Authorized Official Contact | 8604817631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candid Maine Pc 44 W 28th St Fl 14 New York NY 10001-4212 Ph: (860) 481-7631 | Candid Maine Pc 415 Congress St Ste 201 Portland ME 04101-3500 Ph: (860) 481-7631 |
| NPI Number | 1881209641 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 09/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881209641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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