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Organization

ANDROSCOGGIN ORTHODONTICS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS JOHN BAUER D.D.S. (OWNER)
(207) 784-8587
Entity
Organization

Contact information

Practice address
1 WILLOW RUN, AUBURN, ME 04210-8501
(207) 784-8587
(207) 777-5251
Mailing address
1 WILLOW RUN, AUBURN, ME 04210-8501
(207) 784-8587
(207) 777-5251

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN4352
ME

Other

Enumeration date
06/18/2014
Last updated
06/18/2014
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