Organization
WINDSOR PREVENTIVE DENTAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH ANNE NIELSEN D.D.S. (OWNER)
(207) 549-5945
Entity
Organization
Contact information
Practice address
297 AUGUSTA ROCKLAND RD, WINDSOR, ME 04363-3613
(207) 549-5945
(207) 549-4773
Mailing address
297 AUGUSTA ROCKLAND RD, WINDSOR, ME 04363-3613
(207) 549-5945
(207) 549-4773
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4313
ME
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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