Individual
ALICIA WOODWARD WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
192 CHICKEN MILL POND RD, GOULDSBORO, ME 04607
(207) 598-6333
Mailing address
192 CHICKEN MILL POND RD, GOULDSBORO, ME 04607
(207) 598-6333
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
IPH 74
ME
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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