Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Other names
Forest Hills School
Organization subpart
No
Provider details
NPI number
Authorized official
LORI L. DWYER ESQ. (PRESIDENT AND CEO)
(207) 992-9200
Entity
Organization
Contact information
Practice address
606 MAIN ST, JACKMAN, ME 04945
(207) 945-5247
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
03/11/2014
Last updated
08/06/2018
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