LAURA MARIE PROVANCHA

DOVER FOXCROFT, ME
NPI1164241600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: SC  10586)
Enumeration Date2024-10-10
Last Update Date2024-10-10
Business Address
LAURA MARIE PROVANCHA RDH
188 SUMMER ST
DOVER FOXCROFT, ME 04426-1129
Phone number: 207-538-3700
Mailing Address
LAURA MARIE PROVANCHA RDH
2741 HARRISON AVE
EUREKA, CA 95501-4737
Phone number: 843-592-7987
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