Individual
DR. NICHOL IRENE PENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
618 US ROUTE 1, SCARBOROUGH, ME 04074-9618
(207) 883-3229
Mailing address
361 SEASIDE AVE, APT 201, SACO, ME 04072-3412
(207) 939-8746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4148
ME
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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