Organization
LIFETIMESMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE WHEELER VAUGHAN IPDH (OWNER)
(207) 232-4836
Entity
Organization
Contact information
Practice address
3 CARRIAGE RD, CUMBERLAND FORESIDE, ME 04110-1301
(207) 232-4836
Mailing address
3 CARRIAGE RD, CUMBERLAND FORESIDE, ME 04110-1301
(207) 232-4836
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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