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Individual

KIMBERLY ANN WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22 WELLINGTON RD, PORTLAND, ME 04103-3442
(207) 831-7225
Mailing address
22 WELLINGTON RD, PORTLAND, ME 04103-3442

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
11/02/2021
Last updated
11/02/2021
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