Individual
GRACE ODIMAYO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
250 ARSENAL STREET, 11 SHS, AUGUSTA, ME 04333-0001
(207) 624-4773
Mailing address
80 PARKWOOD DR, AUGUSTA, ME 04330-6253
(207) 621-0398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3705
ME
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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