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Individual

ALLEN J FORTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LD

Contact information

Practice address
403 WILSON ST, BREWER, ME 04412-1521
(207) 667-6222
(207) 412-0015
Mailing address
23 CARRIAGE RD STE 2, ELLSWORTH, ME 04605-2412
(207) 667-6222
(207) 412-0015

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DTR5543
ME

Other

Enumeration date
05/25/2023
Last updated
06/01/2023
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