Individual
MELISSA DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58 BUTTER ST, GUILFORD, ME 04443-6039
(207) 717-7084
Mailing address
58 BUTTER ST, GUILFORD, ME 04443-6039
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2203
ME
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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