Organization
AT YOUR HOME MOBILE DENTAL HYGIENIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PETERS (MANAGING MEMBER)
(207) 698-4615
Entity
Organization
Contact information
Practice address
245 HUBBARD RD, BERWICK, ME 03901-2325
(207) 698-4615
Mailing address
245 HUBBARD RD, BERWICK, ME 03901-2325
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
IPH1
ME
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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