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1821029075
ANDROSCOGGIN ORAL AND MAXILLOFACIAL SURGEONS PA
LEWISTON, ME
NPI
1821029075
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Entity Type
Organization
Authorized Contact
JAN B KIPPAX
Owner
207-784-9327
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ME 3108)
Enumeration Date
2006-07-06
Last Update Date
2020-08-22
Business Address
ANDROSCOGGIN ORAL AND MAXILLOFACIAL SURGEONS PA
501 MAIN ST
LEWISTON, ME 04240
Phone number: 207-784-9327
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Mailing Address
ANDROSCOGGIN ORAL AND MAXILLOFACIAL SURGEONS PA
501 MAIN ST
LEWISTON, ME 04240
Phone number: 207-784-9327
Copy
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