Organization
TINY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH BOUCHARD D.D.S. (OWNER)
(240) 499-4711
Entity
Organization
Contact information
Practice address
435 MAIN ST, DAMARISCOTTA, ME 04543
(240) 499-4711
Mailing address
8 KERYGMA DR, ROCKPORT, ME 04856-4814
(240) 499-4711
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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