Individual
DR. MICHELLE BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
130 CENTRE ST STE 2, BATH, ME 04530-2598
(207) 443-6255
(207) 389-4587
Mailing address
33 TYNG ST APT 3, PORTLAND, ME 04102-3995
(207) 772-4359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02576800
NJ
Other
Enumeration date
10/29/2014
Last updated
04/02/2019
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