Organization
ORCHARDSIDE DENTAL HYGIENE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL ALLISON KELLY IPDH (OWNER)
(207) 703-3339
Entity
Organization
Contact information
Practice address
1881 RT. 109, ACTON, ME 04001
(207) 703-3339
Mailing address
PO BOX 48, ACTON, ME 04001-0048
(207) 703-3339
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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