Orchardside Dental Hygiene LLC

NPI #1376952762 in Acton, Maine

Provider Information

NPI Number: 1376952762
Entity Type: Organization
Organization Name: Orchardside Dental Hygiene LLC
Primary Specialty: Dental Hygienist
Enumeration Date: Aug 11, 2014
Last Updated: Aug 11, 2014

Practice Location

Address: 1881 RT. 109
City: Acton
State: Maine
ZIP Code: 04001
Phone: (207) 703-3339

Authorized Official

Name: MRS. JILL ALLISON KELLY, IPDH
Title: OWNER
Phone: (207) 703-3339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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