Lisa Boulet

NPI #1497087340 in Winthrop, Maine

Provider Information

NPI Number
1497087340
Entity Type
Individual
Name
Lisa Boulet
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dental Hygienist
Enumeration Date
Feb 3, 2010
Last Updated
Feb 3, 2010

Practice Location

Address
676 OLD LEWISTON RD
State
Maine
ZIP Code
04364
Phone
(207) 377-7003

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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