Individual
ZOE KIKLIS CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
77 SOUTH ST, GORHAM, ME 04038-1715
(207) 222-0522
Mailing address
77 SOUTH ST, GORHAM, ME 04038-1715
(914) 216-3620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
104224
CA
1223G0001X
General Practice Dentistry
Primary
4946
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912404708
—
ME
Enumeration date
04/09/2018
Last updated
01/26/2023
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