Individual
LAUREN DURELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 283-0171
Mailing address
7 NORTHWOOD DR, PORTLAND, ME 04103-2051
(603) 833-6411
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH4213
ME
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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