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Individual

MRS. DOROTHY MARGARET MAROON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
12 LAFRINEA LN, POLAND, ME 04274-6158
(207) 998-3500
Mailing address
12 LAFRINEA LN, POLAND, ME 04274-6158
(207) 998-3500

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH2546
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
188720000
MAINE CARE
ME
Enumeration date
03/23/2009
Last updated
03/23/2009
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