Individual
SUSAN MARIE PERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
33 ISLAND VIEW LN, BRUNSWICK, ME 04011-3550
(207) 831-9337
(207) 406-4057
Mailing address
33 ISLAND VIEW LN, BRUNSWICK, ME 04011-3550
(207) 831-9337
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH2887
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RDH2887
MBDE
ME
Enumeration date
12/02/2018
Last updated
12/02/2018
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