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Individual

BONNIE ELLISH PIKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IPDH

Contact information

Practice address
2 YOUNGS RIDGE RD, ACTON, ME 04001-6616
(603) 520-4136
Mailing address
PO BOX 155, ACTON, ME 04001-0155
(603) 520-4136

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
IPH44
ME

Other

Enumeration date
02/23/2012
Last updated
02/23/2012
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