Individual
LEAH A BOLLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 PETTINGILL ST, LEWISTON, ME 04240-5903
(207) 513-1111
Mailing address
186A TWOMBLEY RD APT A, SANFORD, ME 04073-4056
(207) 329-7271
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH4143
ME
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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