Individual
MS. KEELAN MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
75 JOHN ROBERTS ROAD, SUITE 10B, SOUTH PORTLAND, ME 04106
(207) 773-3111
(207) 773-3133
Mailing address
75 JOHN ROBERTS ROAD, SUITE 10B, SOUTH PORTLAND, ME 04106
(207) 773-3111
(207) 773-3133
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH 632
ME
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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