Individual
LOVELY LOVELESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
713 ROOSEVELT TRL, WINDHAM, ME 04062-5269
(207) 892-3200
Mailing address
9 GATEWAY COMMONS DR, GORHAM, ME 04038-1331
(207) 939-6785
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH3051
ME
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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