Individual
DESTANY PAIGE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
93 CHURCHILL ST, WISCASSET, ME 04578-4101
(207) 386-6600
Mailing address
2301 STATE ROUTE 129, SOUTH BRISTOL, ME 04568-4703
(207) 682-8481
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH4628
ME
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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