Individual
TATYANA ELAINE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, IPDH, MSDH
Contact information
Practice address
15 PIPER RD, SCARBOROUGH, ME 04074-7575
(207) 615-6571
Mailing address
33 PINE HAVEN DR, SACO, ME 04072-9655
(207) 615-6571
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH4009
ME
Other
Enumeration date
02/13/2023
Last updated
02/17/2023
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