Individual
MRS. THERESA LOUISE BEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
17 LEVESQUE DRIVE, SUITE 3, KINGSTON FAMILY DENTAL, ELIOT, ME 03903
(207) 439-0779
Mailing address
17 LEVESQUE DRIVE, SUITE 3, KINGSTON FAMILY DENTAL, ELIOT, ME 03903
(207) 439-0779
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
02448
NH
124Q00000X
Dental Hygienist
2621
ME
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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