Waterboro Dentistry | |
813b Main St Waterboro ME 04087-3084 | |
(207) 247-3511 | |
Not Available |
Full Name | Waterboro Dentistry |
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Speciality | Dentist - General Practice |
Location | 813b Main St, Waterboro, Maine |
Authorized Official Name and Position | Valerie Lariviere (OWNER) |
Authorized Official Contact | 2072473511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Waterboro Dentistry Po Box 378 Waterboro ME 04087-0378 Ph: (207) 247-3511 | Waterboro Dentistry 813b Main St Waterboro ME 04087-3084 Ph: (207) 247-3511 |
NPI Number | 1164206553 |
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Provider Enumeration Date | 08/24/2023 |
Last Update Date | 08/24/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164206553 | NPI | - | NPPES |
DEN4703 | Other | ME | DENTAL LICENSE |
ME2821 | Other | ME | DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |