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Organization
STATE OF MAINE
Active
Organization
STATE OF MAINE
Active
Other names
OADS
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MARTIN (ASSC. DIRECTOR,OADS)
(207) 287-6642
Entity
Organization
Contact information
Practice address
32 BLOSSOM LN, AUGUSTA, ME 04333-0011
(207) 287-6642
Mailing address
221 STATE ST, FL 3 SHS#11, AUGUSTA, ME 04330-6846
(207) 287-6642
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2012
Last updated
05/07/2019
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