| Avisina, Llc | |
|
48 Highland Ave South Berwick ME 03908 | |
| (512) 203-2768 | |
| Not Available |
| Full Name | Avisina, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 48 Highland Ave, South Berwick, Maine |
| Authorized Official Name and Position | Kamyar Yazdi (OWNER) |
| Authorized Official Contact | 5122032768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avisina, Llc 48 Highland Ave South Berwick ME 03908 Ph: (512) 203-2768 | Avisina, Llc 48 Highland Ave South Berwick ME 03908 Ph: (512) 203-2768 |
| NPI Number | 1801661012 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 05/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801661012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |