Organization
MAINE ENDODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY PAGE WYMAN DMD (PESIDENT)
(207) 622-2500
Entity
Organization
Contact information
Practice address
221 EASTERN AVE, AUGUSTA, ME 04330-5930
(207) 622-2500
(207) 623-3077
Mailing address
221 EASTERN AVE, AUGUSTA, ME 04330-5930
(207) 622-2500
(207) 623-3077
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2671
ME
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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