Individual
MARY DALHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
4 COMMUNITY LANE, SOUTHWEST HARBOR, ME 04679-0731
(207) 244-2888
(207) 244-0490
Mailing address
P.O. BOX 731, SOUTHWEST HARBOR, ME 04679-0731
(207) 244-2888
(207) 244-0490
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0747
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0747
MAINE BOARD OF DENTAL EXAMINERS
ME
Enumeration date
12/30/2014
Last updated
12/30/2014
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