Individual
LAURA MICHELLE CALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
57 BARRA RD, BIDDEFORD, ME 04005-9448
(200) 282-1305
Mailing address
1244 BROADWAY APT 2, SOUTH PORTLAND, ME 04106-5636
(760) 473-9279
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4852
ME
Other
Enumeration date
05/12/2020
Last updated
08/29/2021
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