Individual
SHANNON CHRISTINE TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, IPDH
Contact information
Practice address
12 SULLIVAN ST STE 107, BERWICK, ME 03901-2925
(207) 810-6019
Mailing address
12 SULLIVAN ST STE 107, BERWICK, ME 03901-2925
(207) 810-6019
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH4617
ME
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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