Individual
ALEXANDRA BAZINET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
166 REGAN LN, PORTLAND, ME 04103-2035
(207) 808-9498
Mailing address
312 CONGRESS ST APT 5, PORTLAND, ME 04101-3632
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH4199
ME
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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