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Organization

COREY J. TEGUIS DMD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COREY J TEGUIS (OWNER)
(207) 282-5682
Entity
Organization

Contact information

Practice address
28 W COLE RD STE 102, BIDDEFORD, ME 04005-9428
(207) 282-5682
(207) 282-3598
Mailing address
28 WEST COLE RD SUITE 102, BIDDEFORD, ME 04005
(207) 282-5682
(207) 282-3598

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2589
ME
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3652
ME

Other

Enumeration date
03/13/2017
Last updated
05/16/2017
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