Individual
ANGELA ADDITON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
386 MINOT AVE, AUBURN, ME 04210-4331
(207) 754-1176
Mailing address
109 SUMMIT AVE, LEWISTON, ME 04240-6139
(207) 576-2334
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3184
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427299460
—
ME
Enumeration date
09/05/2014
Last updated
09/05/2014
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