NPI | 1093086225 |
---|---|
Entity Type | Organization |
Authorized Contact | SHONA LYNN ARMSTRONG Owner/Provider 207-769-4017 |
Organization Subpart ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO CO-905211) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2021-03-31 |