Organization
YORK COUNTY PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LEE CREISHER D.D.S. (OWNER)
(207) 985-2800
Entity
Organization
Contact information
Practice address
31 YORK ST, KENNEBUNK, ME 04043-7152
(207) 985-2800
(207) 985-7185
Mailing address
31 YORK ST, KENNEBUNK, ME 04043-7152
(207) 985-2800
(207) 985-7185
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN3715
ME
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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