Organization
FAMILY PREVENTIVE DENTAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY W WAGNER D.D.S. (GENERAL DENTIST)
(207) 781-4625
Entity
Organization
Contact information
Practice address
251 US ROUTE 1, FALMOUTH, ME 04105-1322
(207) 781-4625
(207) 781-3204
Mailing address
251 US ROUTE 1, FALMOUTH, ME 04105-1322
(207) 781-4625
(207) 781-3204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2877
ME
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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