Organization
NEW LEAF DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HAIDU DDS (PRESIDENT)
(207) 522-9727
Entity
Organization
Contact information
Practice address
90 MAIN ST, TOPSHAM, ME 04086-1209
(207) 725-2122
Mailing address
90 MAIN ST, TOPSHAM, ME 04086-1209
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972689511
—
WA
Enumeration date
10/13/2017
Last updated
10/13/2017
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