Organization
ROOSEVELT DENTAL
Active
Other names
Androscoggin Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE KIM (OWNER/DENTIST)
(207) 729-3911
Entity
Organization
Contact information
Practice address
7 MAIN ST, TOPSHAM, ME 04086-1216
(207) 729-3911
Mailing address
7 MAIN ST, TOPSHAM, ME 04086-1216
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
ME4101
ME
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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