Organization
FORTIN DENTURE CLINIC LLC
Active
Other names
Augusta Denture
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN JOSEPH FORTIN LD (PRESIDENT)
(207) 341-0968
Entity
Organization
Contact information
Practice address
2689 N BELFAST AVE, AUGUSTA, ME 04330-0204
(207) 341-0968
Mailing address
4 N CIRCLE DR, FAIRFIELD, ME 04937-3335
(207) 341-0968
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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