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MS. ALEXANDRA YANIVA PEACOCK CATHCART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
110 AUBURN ST, PORTLAND, ME 04103-2128
(207) 797-7433
Mailing address
190 PARK AVENUE, PORTLAND, ME 04102
(207) 874-1028
(207) 842-2963

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4645
ME

Other

Enumeration date
06/18/2018
Last updated
11/20/2019
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