Individual
MRS. AMANDA LAGANIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1048 UNION ST, BANGOR, ME 04401-3016
(207) 992-2152
Mailing address
15 SHANNON DR, BANGOR, ME 04401-3538
(207) 949-6887
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
02884
NH
124Q00000X
Dental Hygienist
Primary
RDH3652
ME
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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