Organization
MAINE COAST ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY BYRD (FINANCIAL COORDINATOR)
(207) 236-4356
Entity
Organization
Contact information
Practice address
5 CHILDRENS WAY, ROCKPORT, ME 04856-5746
(207) 236-4356
Mailing address
PO BOX 1107, ROCKPORT, ME 04856-1107
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4453
ME
Other
Enumeration date
01/15/2017
Last updated
01/15/2017
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