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Organization

MAINELY KIDS & TEENS, LLC

Active
Parent organization
MAINELY KIDS & TEENS, PLLC
Other names
Wee Care Children's Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
MAINELY KIDS & TEENS, PLLC
Authorized official
JEFF BATEMAN (CEO)
(207) 974-3018
Entity
Organization

Contact information

Practice address
8 SHUMAN AVE, AUGUSTA, ME 04330-7751
(207) 974-3018
(207) 974-3067
Mailing address
1 CUMBERLAND PL STE 116, BANGOR, ME 04401-5087
(207) 974-3018
(207) 974-3067

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
12/10/2019
Last updated
11/08/2022
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