Organization
STANDISH DENTURE CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL M LEVASSEUR L.D. (MANAGER/LICENSED DENTURIST)
(207) 642-2310
Entity
Organization
Contact information
Practice address
7 GRETCHEN LN, STANDISH, ME 04084
(207) 642-2310
(207) 642-6815
Mailing address
PO BOX 549, STANDISH, ME 04084-0549
(207) 642-2310
(207) 642-6815
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5010
ME
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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