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1851591630
COSMETIC & GENERAL DENTISTRY OF WINTHROP
WINTHROP, ME
NPI
1851591630
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Entity Type
Organization
Authorized Contact
JAY R WIETECHA
Proprietor
207-377-6958
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2007-07-20
Last Update Date
2007-07-20
Business Address
COSMETIC & GENERAL DENTISTRY OF WINTHROP
28 OLD WESTERN AVE
WINTHROP, ME 04364-4060
Phone number: 207-377-6958
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Mailing Address
COSMETIC & GENERAL DENTISTRY OF WINTHROP
28 OLD WESTERN AVENUE
WINTHROP, ME 04364
Phone number: 207-377-6958
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