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This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Point of Service |
305S00000X |
| NPI # | 1114153939 |
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| LBN Legal business name | KENNEBEC VALLEY FAMILY DENTISTRY | ||||
| Authorized official | KIMBERLEY GORDON - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/08/2009 | ||||
| Last updated | 11/20/2019 - About 7 years ago | ||||
| Identifiers |
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KENNEBEC VALLEY FAMILY DENTISTRY
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KENNEBEC VALLEY FAMILY DENTISTRY