Organization
SMILES FOR LIFE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STORMY COLBATH RDH (PRESIDENT)
(207) 379-2605
Entity
Organization
Contact information
Practice address
195 CIDER HILL RD, EXETER, ME 04435-3030
(207) 379-2605
Mailing address
195 CIDER HILL RD, EXETER, ME 04435-3030
(207) 379-2605
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2521
ME
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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