Individual
MRS. SANDRA LIN BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
389 CONGRESS ST., HEALTH AND HUMAN SERVICES, CHILDREN'S ORAL HEALTH, PORTLAND, ME 04101
(207) 541-6632
(207) 541-6891
Mailing address
269 TOWN FARM RD, NEW GLOUCESTER, ME 04260-4438
(207) 926-3493
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3157
ME
Other
Enumeration date
02/06/2007
Last updated
07/09/2007
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