Organization
ST JOHN VALLEY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON HENRY DMD (DENTIST)
(207) 728-7557
Entity
Organization
Contact information
Practice address
309 SAINT THOMAS ST, SUITE 103, MADAWASKA, ME 04756-1278
(207) 728-7557
(207) 728-7558
Mailing address
309 SAINT THOMAS ST, SUITE 103, MADAWASKA, ME 04756-1278
(207) 728-7557
(207) 728-7558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3474
ME
122300000X
Dentist
3697
ME
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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