Organization
CENTRAL MAINE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA M LAWRENCE DDS (PRESIDENT)
(207) 783-4705
Entity
Organization
Contact information
Practice address
405 CENTER STREET, AUBURN, ME 04210
(207) 783-4705
Mailing address
405 CENTER STREET, AUBURN, ME 04210
(207) 783-4705
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3065
ME
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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