Organization
FOUNDATION DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ROSEN DDS (OWNER)
(207) 469-2912
Entity
Organization
Contact information
Practice address
154 MAIN ST, BUCKSPORT, ME 04416
(207) 469-2912
Mailing address
PO BOX O, BUCKSPORT, ME 04416-1215
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/27/2024
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