Individual
DR. JOHN RALPH BEAUDOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2 STILSON ST, SANFORD, ME 04073-3228
(207) 324-4493
(207) 490-6551
Mailing address
2 STILSON ST, SANFORD, ME 04073-3228
(207) 324-4493
(207) 490-6551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3084
ME
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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