Teledentalassistance
NPI #1710619010 in Scarborough, Maine
Provider Information
- NPI Number
- 1710619010
- Entity Type
- Organization
- Organization Name
- Teledentalassistance
- Primary Specialty
- Dentist - Dental Public Health
- Enumeration Date
- Jun 27, 2022
- Last Updated
- Jun 27, 2022
Practice Location
- Address
- 6 CARRIAGE WAY
- City
- Scarborough
- State
- Maine
- ZIP Code
- 04074-9602
- Phone
- (207) 432-0649
Authorized Official
- Name
- STACY CARON
- Title
- FOUNDER
- Phone
- (207) 432-0649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
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