Individual
TAMMY CHOUINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
177 N MAIN ST, STRONG, ME 04983-3005
(207) 684-3045
(207) 684-3049
Mailing address
PO BOX 569, 42 DALLAS HILL RD, RANGELEY, ME 04970-0569
(207) 864-3303
(207) 864-2969
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2723
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2723
HYGIENIST LICENSE
ME
Enumeration date
11/30/2006
Last updated
07/08/2007
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