Organization
CROSSWAY FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON IM DMD (OWNER DENTIST)
(207) 743-8701
Entity
Organization
Contact information
Practice address
10 MARKET SQUARE, SUITE #3, SOUTH PARIS, ME 04281
(207) 743-8701
(207) 743-2787
Mailing address
10 MARKET SQUARE, SUITE #3, SOUTH PARIS, ME 04281
(207) 743-8701
(207) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/04/2007
Last updated
04/06/2022
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