Loreene A Stacy RDH

NPI 1730507203 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1730507203
Gender Female
Enumeration Date 04/02/2014
Last Updated 04/02/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1600 FOREST AVE
PORTLAND ME, 04103-1314, US
Phone (207) 541-6631
Fax
Business Location
389 CONGRESS ST
ROOM 307
PORTLAND ME, 04101-3566, US
Phone
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Maine
License Number RDH3132
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According to our database, Loreene A Stacy RDH NPI is 1730507203, taxonomy code is 124Q00000X and license number is RDH3132, license state is located at Maine. Loreene A Stacy RDH physically located at 1600 Forest Ave, Portland ME, 04103-1314. NPI Number Loreene A Stacy RDH has the Individual type.

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1730507203 NPI number is provided on an as is basis without warranty of any kind. 1730507203 is maintained by the National Plan & Provider Enumeration System. The contents of Loreene A Stacy RDH are for informational purposes only.