Organization
KENNEBEC VALLEY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLEY GORDON (EXECUTIVE DIRECTOR)
(207) 623-3400
Entity
Organization
Contact information
Practice address
269 WATER ST, AUGUSTA, ME 04330-4645
(207) 623-3400
(207) 623-3440
Mailing address
6 E CHESTNUT ST STE 420, AUGUSTA, ME 04330-5743
(207) 623-3400
(207) 623-3440
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
3095
ME
Other
Enumeration date
06/08/2009
Last updated
11/20/2019
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