MISS Alicia T Sousa, RDH

NPI #1962877910 in Old Orchard Beach, Maine

Provider Information

NPI Number: 1962877910
Entity Type: Individual
Name: MISS Alicia T Sousa, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Dec 2, 2015
Last Updated: Dec 2, 2015

Practice Location

Address: 85 ROSS RD
City: Old Orchard Beach
State: Maine
ZIP Code: 04064-4111
Phone: (207) 432-3188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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Organizations

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