Individual
HAYLIE PRISCILLA GENOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 MAIN ST, PORTER, ME 04068-3527
(207) 625-2267
Mailing address
70 MAIN ST, PORTER, ME 04068-3527
(207) 625-8126
(207) 625-7820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4901
ME
Other
Enumeration date
07/07/2021
Last updated
02/07/2024
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