Individual
KAITLIN ELAINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 CENTER ST, AUBURN, ME 04210-6001
(207) 312-5422
Mailing address
6203 GATEWAY CIR, SCARBOROUGH, ME 04074-5539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4876
ME
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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