Organization
CENTER FOR ADVANCED DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN ANDREW BERNSTEIN DDS (PRESIDENT)
(207) 784-7355
Entity
Organization
Contact information
Practice address
220 MAIN ST, AUBURN, ME 04210-5723
(716) 784-7355
Mailing address
220 MAIN ST, AUBURN, ME 04210-5723
(716) 784-7355
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN4200
ME
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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