Individual
PAIGE VAN DEINSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 REGAN LN, PORTLAND, ME 04103-2035
(207) 710-4770
Mailing address
279 NEW COUNTY RD, SACO, ME 04072-9750
(207) 710-4770
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH4198
ME
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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