Organization
SERENITY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL FARLEY IPDH (OWNER)
(207) 205-2568
Entity
Organization
Contact information
Practice address
3 SCHOPPEE DR, OLD ORCHARD BEACH, ME 04064-1428
(207) 205-2568
Mailing address
3 SCHOPPEE DR, OLD ORCHARD BEACH, ME 04064-1428
(207) 205-2568
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
IPDH41
ME
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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