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Organization
ANDROSCOGGIN ORTHODONTICS, P.A.
Active
Organization
ANDROSCOGGIN ORTHODONTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOHN BAUER D.D.S. (OWNER)
(207) 784-8587
Entity
Organization
Contact information
Practice address
1 WILLOW RUN, AUBURN, ME 04210-8501
(207) 784-8587
(207) 777-5251
Mailing address
1 WILLOW RUN, AUBURN, ME 04210-8501
(207) 784-8587
(207) 777-5251
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN4352
ME
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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