Individual
LINDA J MACIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSDH
Contact information
Practice address
20 MERRIT PKWY, NASHUA, NH 03062-3029
(603) 821-0570
Mailing address
20 MERRIT PARTKWAY, NASHUA, NH 03062
(603) 821-0570
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
02135
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124Q00000X
DENTAL HYGIENE
NH
Enumeration date
10/21/2020
Last updated
10/21/2020
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