Organization
STANDISH DENTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL M LEVASSEUR (OWNER/ LICENSED DENTURIST)
(207) 642-2310
Entity
Organization
Contact information
Practice address
7 GRETCHEN LANE, STANDISH, ME 04084
(207) 642-2310
Mailing address
P.O BOX 549, STANDISH, ME 04084
(207) 642-2310
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
5010
ME
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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