Individual
MS. JOAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 BATH RD, SUITE 301, WISCASSET, ME 04578-4640
(207) 687-2132
Mailing address
315 LOWELLTOWN RD, WISCASSET, ME 04578-4427
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
14
ME
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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