Individual
FREDRIC NEIL AMIDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
775 US ROUTE 1, SUITE #1, YORK, ME 03909
(207) 363-5242
(207) 363-1144
Mailing address
775 US ROUTE 1, SUITE #1, YORK, ME 03909
(207) 363-5242
(207) 363-1144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3655
ME
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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