Organization
RAYMOND T. BEDETTE, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND T BEDETTE DDS (PRESIDENT/ORTHODONTIST)
(207) 784-8587
Entity
Organization
Contact information
Practice address
1 WILLOW RUN, 1-A, AUBURN, ME 04210-8501
(207) 784-8587
(207) 777-5251
Mailing address
1 WILLOW RUN, 1-A, AUBURN, ME 04210-8501
(207) 784-8587
(207) 777-5251
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2797
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112820000
—
ME
Enumeration date
05/10/2009
Last updated
05/10/2009
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