Organization Name: | NEW ENGLAND DENTURE CENTER OF WESTBROOK |
NPI Number: | 1174963482 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BEATRICE TOKAYER (DENTURIST) |
Mailing Address: | 291 Alfred St Biddeford |
State: | ME US |
Postal Code: | 040053155 |
Phone Number: | 2072869500 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2013 |
NPI Last Update Date: | 07/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 122400000X |
License Number: | 5519 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Denturist |
Taxonomy Specialization: | |
Taxonomy Definition: |