Organization
STANDISH DENTURE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MICHAEL LEVASSEUR DENTURIST (OWNER)
(207) 642-2310
Entity
Organization
Contact information
Practice address
178 CAPE RD, STANDISH, ME 04084-6147
(207) 642-2310
(207) 642-6815
Mailing address
PO BOX 549, STANDISH, ME 04084
(207) 642-2310
(207) 642-6815
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
5010
ME
Other
Enumeration date
05/12/2011
Last updated
06/02/2011
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