| State Street Dental Care, P.a. | |
|
278 State St Augusta ME 04330-6914 | |
| (207) 622-9215 | |
| Not Available |
| Full Name | State Street Dental Care, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 278 State St, Augusta, Maine |
| Authorized Official Name and Position | Randall Peter Cutri (PRESIDENT) |
| Authorized Official Contact | 2076229215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Street Dental Care, P.a. 278 State St Augusta ME 04330-6914 Ph: (207) 622-9215 | State Street Dental Care, P.a. 278 State St Augusta ME 04330-6914 Ph: (207) 622-9215 |
| NPI Number | 1205597184 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 01/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205597184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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