| NPI | 1386922565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA KAY CRANDALL Independent Dental Hygienist 207-793-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: ME IPH30) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ME PHS886) |
| 124Q00000X Dental Hygienist (Licence: ME LAN30) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |