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Organization
GRANITE COAST ORTHODONTICS, LLC PA
Active
Organization
GRANITE COAST ORTHODONTICS, LLC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS PETER LALIBERTE D.M.D. (PRESIDENT/ORTHODONTIST)
(207) 470-7466
Entity
Organization
Contact information
Practice address
1056 COMMERCIAL ST, ROCKPORT, ME 04856-3801
(207) 470-7466
(207) 517-6167
Mailing address
1056 COMMERCIAL ST, ROCKPORT, ME 04856-3801
(207) 470-7466
(207) 517-6167
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN4118
ME
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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