Individual
DR. JENNA MAE FONGEMIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
94 WESTERN AVE STE 1, AUGUSTA, ME 04330-7269
(207) 622-1488
Mailing address
94 WESTERN AVE STE 1, AUGUSTA, ME 04330-7269
(207) 622-1488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4978
ME
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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