Organization
TOGUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY BETH GLIDDEN (DENTAL ASSISTANT)
(207) 242-8195
Entity
Organization
Contact information
Practice address
320 WEBBER POND RD, VASSALBORO, ME 04989-3938
(207) 242-8195
Mailing address
320 WEBBER POND RD, VASSALBORO, ME 04989-3938
(207) 242-8195
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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