Individual
SAMANTHA HAUPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-3738
Mailing address
674 BOULEVARD DE FRANCE, BEAUFORT, SC 29902
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4451
ME
Other
Enumeration date
08/19/2015
Last updated
04/07/2020
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