STATE OF MAINE

AUGUSTA, ME
NPI1225374549
Entity TypeOrganization
Authorized ContactJAMES MARTIN
Assc. Director,Oads
207-287-6642
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2012-12-13
Last Update Date2019-05-07
Business Address
STATE OF MAINE
32 BLOSSOM LN
AUGUSTA, ME 04333-0011
Phone number: 207-287-6642
Mailing Address
STATE OF MAINE
221 STATE ST FL 3 SHS#11
AUGUSTA, ME 04330-6846
Phone number: 207-287-6642
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