| NPI | 1053141382 |
|---|---|
| Doing Business As | AUGUSTA DENTURE |
| Entity Type | Organization |
| Authorized Contact | ALLAN JOSEPH FORTIN President 207-341-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122400000X Denturist |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |