Organization
CHILDREN'S DENTISTRY OF SANFORD, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEPHEN LUCIER D.M.D (DOCTOR/OWNER)
(207) 324-0026
Entity
Organization
Contact information
Practice address
955 MAIN ST, SANFORD, ME 04073-3574
(207) 324-0026
(207) 324-0013
Mailing address
955 MAIN ST, SANFORD, ME 04073-3574
(207) 324-0026
(207) 324-0013
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3822
ME
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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