Organization
MAIN STREET DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL CLOUTIER DDS PA (PRESIDENT)
(207) 856-6121
Entity
Organization
Contact information
Practice address
808 MAIN ST, WESTBROOK, ME 04092-3423
(207) 856-6121
Mailing address
808 MAIN ST, WESTBROOK, ME 04092-3423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3714
ME
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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