Organization
STATE STREET DENTAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL PETER CUTRI DMD (PRESIDENT)
(207) 622-9215
Entity
Organization
Contact information
Practice address
278 STATE ST, AUGUSTA, ME 04330-6914
(207) 622-9215
Mailing address
278 STATE ST, AUGUSTA, ME 04330-6914
(207) 622-9215
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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