Organization
ADS DENTURE TECHNOLOGIES LLC
Active
Other names
Jetport Denture Center
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY D SOUCY LD (OWNER)
(207) 794-5322
Entity
Organization
Contact information
Practice address
980 FOREST AVE STE 104, PORTLAND, ME 04103-3357
(207) 774-7645
Mailing address
57 NOWELL ST, NORTH BERWICK, ME 03906-6519
(207) 794-5322
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
02/05/2025
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