Maine Dental Boutique, LLC

NPI #1306337290 in Winthrop, Maine

Provider Information

NPI Number
1306337290
Entity Type
Organization
Organization Name
Maine Dental Boutique, LLC
Primary Specialty
Dental Hygienist
Enumeration Date
May 25, 2018
Last Updated
May 25, 2018

Practice Location

Address
16 COMMERCE PLZ STE 1A
State
Maine
ZIP Code
04364-1562
Phone
(207) 930-0833

Authorized Official

Name
KIMBERLY FICHTHORN
Title
OWNER
Phone
(207) 930-0833

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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