Individual
MRS. STEPHANIE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6795
(076) 238-4112
Mailing address
537 DIRIGO RD, SOUTH CHINA, ME 04358-3032
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH3836
ME
Other
Enumeration date
06/27/2016
Last updated
03/03/2022
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