Individual
LISA JEANNETTE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
18A MAPLE ST, SOUTH PORTLAND, ME 04106-2111
(207) 671-6587
Mailing address
18A MAPLE ST, SOUTH PORTLAND, ME 04106-2111
(207) 671-6587
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH896
ME
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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