Individual
MS. DENISE J CARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1334 WASHINGTON AVE, PORTLAND, ME 04103-3670
(207) 797-5834
(207) 797-8305
Mailing address
1334 WASHINGTON AVE, PORTLAND, ME 04103-3670
(207) 797-5834
(207) 797-8305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2927
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462767
BCBS
—
Enumeration date
03/20/2007
Last updated
07/08/2007
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