Organization
LAKES REGION DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA JEAN BERRY DMD (MEMBER)
(207) 624-1648
Entity
Organization
Contact information
Practice address
6 CENTER ST, OAKLAND, ME 04963-4927
(207) 624-1648
Mailing address
183 HIGHLAND AVE, GARDINER, ME 04345-1888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4188
ME
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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