Individual
WAYNE LARIVIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
813 MAIN ST, B, WATERBORO, ME 04087-3006
(207) 247-3511
(207) 247-3533
Mailing address
PO BOX 378, WATERBORO, ME 04087-0378
(207) 247-3511
(207) 247-3533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2821
ME
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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