Organization
RIDEOUT PREVENTATIVE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY RIDEOUT RDH (OWNER)
(207) 876-6988
Entity
Organization
Contact information
Practice address
859 W MAIN ST, DOVER FOXCROFT, ME 04426-1020
(207) 876-6988
Mailing address
152 GROVE ST, DOVER FOXCROFT, ME 04426-1254
(207) 876-6988
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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