Organization
BUXTON DENTURE CLINIC
Active
Other names
new england denture center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STEPHANIE R BUXTON (DENTURIST)
(207) 941-6550
Entity
Organization
Contact information
Practice address
12 STILLWATER AVE, BANGOR, ME 04401-3984
(207) 941-6550
(207) 973-3952
Mailing address
12 STILLWATER AVE, BANGOR, ME 04401-3984
(207) 941-6550
(207) 973-3952
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5511
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433129699
—
ME
Enumeration date
09/30/2009
Last updated
09/30/2009
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