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HASKELL CHARLES KINGSTON D.M.D.

>> Dentist >> Dental Providers

Registrant NPI Number: 1538246657

Individual Registrant:
 HASKELL CHARLES KINGSTON D.M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
17 LEVESQUE DR STE 3  ELIOT, ME 03903-2075 US
Tel: 207-439-0779  Fax: 207-439-0883

Contact information for business:
17 LEVESQUE DR STE 3  ELIOT, ME 03903-2075 US
Tel: 207-439-0779  Fax: 207-439-0883

Registration Information:
NPI: 1538246657
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
ME2914

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS ID NUMBER030541ME01




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