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Organization

ALTA DENTAL OF MAINE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH H WETHERHOLD DMD (PRESIDENT)
(207) 865-1900
Entity
Organization

Contact information

Practice address
348 US ROUTE 1, FREEPORT, ME 04032-7016
(207) 865-1900
(207) 865-1922
Mailing address
348 US ROUTE 1, FREEPORT, ME 04032-7016
(207) 865-1900
(207) 865-1922

Taxonomy

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

Other

Enumeration date
03/13/2008
Last updated
03/13/2008
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