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Individual

MRS. TIFFANY ANN DARGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.H

Contact information

Practice address
1060 COMMERCIAL ST., ROCKPORT, ME 04856
(207) 594-5500
Mailing address
1060 COMMERCIAL ST., ROCKPORT, ME 04856
(207) 594-5500

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2627
ME

Other

Enumeration date
05/07/2009
Last updated
05/07/2009
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