Individual
LEA BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2 STILSON ST, SANFORD, ME 04073-3228
(207) 324-8699
Mailing address
44 MEADOWBROOK DR UNIT 3, GORHAM, ME 04038-1384
(207) 636-6039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4628
ME
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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