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Organization

T.F.I.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA A. LEAVITT R.D.H. (OWNER)
(207) 754-1176
Entity
Organization

Contact information

Practice address
795 GARFIELD RD, AUBURN, ME 04210-8941
(207) 754-1176
Mailing address
795 GARFIELD RD, AUBURN, ME 04210-8941
(207) 754-1176

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
2552
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
433437000
ME
Enumeration date
07/22/2009
Last updated
07/22/2009
Update your record

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