Organization
DOWNTOWN DENTAL HYGIENE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA RENEE CORRIVEAU (OWNER)
(207) 316-3171
Entity
Organization
Contact information
Practice address
226 W MAIN ST, FORT KENT, ME 04743-1119
(207) 316-3171
Mailing address
226 W MAIN ST, FORT KENT, ME 04743-1119
(207) 316-3171
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
04/02/2024
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