Mint Preventative Dental Spa Cornish Pllc

NPI #1033920798 in Fryeburg, Maine

Provider Information

NPI Number: 1033920798
Entity Type: Organization
Organization Name: Mint Preventative Dental Spa Cornish Pllc
Primary Specialty: Dental Hygienist
Enumeration Date: Jan 14, 2025
Last Updated: Jan 14, 2025

Practice Location

Address: 19 PORTLAND ST STE 107
City: Fryeburg
State: Maine
ZIP Code: 04037-1294
Phone: (207) 810-6019

Authorized Official

Name: JENNIFER DAVIS, IPDH
Title: OWNER
Phone: (603) 682-3295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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