Individual
MRS. SARAH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
20 NORTHWOOD CT, WISCASSET, ME 04578-4287
(603) 723-0680
Mailing address
20 NORTHWOOD CT, WISCASSET, ME 04578-4287
(603) 723-0680
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH3968
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RDH3968
MAINE DENTAL HYGEIENE LICENSE NUMBER
ME
Enumeration date
11/03/2016
Last updated
11/03/2016
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