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Individual

DR. PETER G. VAYANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
98 SILVER STREET, WATERVILLE, ME 04901-5935
(207) 873-2073
(207) 873-0697
Mailing address
98 SILVER STREET, WATERVILLE, ME 04901-5935
(207) 873-2073
(207) 873-0697

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4132
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DEN4132
MAINE DENTAL LICENSE NUMBER
ME
Enumeration date
03/29/2010
Last updated
03/29/2010
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