Individual
AUTUMN J THERRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
19 PETTINGILL ST, LEWISTON, ME 04240-5903
(207) 513-1197
Mailing address
PO BOX 314, LEWISTON, ME 04243-0314
(207) 513-1197
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3142
ME
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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