Individual
BENJAMAN RAY DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTAL HYGIENIST
Contact information
Practice address
171 CONGRESS AVE, BATH, ME 04530-1531
(207) 443-9721
(207) 443-9722
Mailing address
171 CONGRESS AVE, BATH, ME 04530-1531
(207) 443-9721
(207) 443-9722
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
RDH3603
ME
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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