Organization
PREVENTION WORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA A WADE (PRESIDENT)
(207) 949-2963
Entity
Organization
Contact information
Practice address
92 SHAW HILL RD, HAMPDEN, ME 04444-3402
(207) 949-2963
Mailing address
92 SHAW HILL RD, HAMPDEN, ME 04444-3402
(207) 949-2963
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2650
ME
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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