Organization
MID-MAINE ORAL AND MAXILLOFACIAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOHN FIOLA DDS (OWNER)
(207) 873-0117
Entity
Organization
Contact information
Practice address
244 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4538
(207) 873-0117
Mailing address
244 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4538
(207) 873-0117
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2641
ME
Other
Enumeration date
05/30/2006
Last updated
08/22/2020
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