Laura Marie Provancha, RDH
NPI #1164241600 in Dover Foxcroft, Maine
Provider Information
- NPI Number
- 1164241600
- Entity Type
- Individual
- Name
- Laura Marie Provancha, RDH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Hygienist
- Credential
- RDH
- Enumeration Date
- Oct 10, 2024
- Last Updated
- Oct 10, 2024
Practice Location
- Address
- 188 SUMMER ST
- City
- Dover Foxcroft
- State
- Maine
- ZIP Code
- 04426-1129
- Phone
- (207) 538-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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