Organization
HASENFUS FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE A HASENFUS DDS (DENTIST)
(207) 622-1711
Entity
Organization
Contact information
Practice address
41 FULLER RD, AUGUSTA, ME 04330-4910
(207) 622-1711
(207) 626-5893
Mailing address
41 FULLER RD, AUGUSTA, ME 04330-4910
(207) 622-1711
(207) 626-5893
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN4370
ME
Other
Enumeration date
05/19/2017
Last updated
07/21/2022
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