Individual
DR. JAY ALAN BEAUCHEMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 221-4709
(207) 523-1915
Mailing address
716 STEVENS AVE, #211, PORTLAND, ME 04103-2656
(207) 221-4709
(207) 523-1915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3159
ME
Other
Enumeration date
05/09/2006
Last updated
08/22/2014
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