Individual
LYNN M MICHIENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
57 BARRA RD, BIDDEFORD, ME 04005-9448
(207) 282-1305
Mailing address
PO BOX 72, SANFORD, ME 04073-0072
(207) 490-6900
(207) 324-0546
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH3590
ME
Other
Enumeration date
12/09/2009
Last updated
01/18/2017
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