Individual
MRS. ELIZABETH MAHAR DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
131 MAIN ST, MEXICO, ME 04257-1412
(207) 364-1480
Mailing address
131 MAIN ST, MAIN STREET DENTAL HYGIENE, MEXICO, ME 04257-1412
(207) 364-1480
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
943
ME
Other
Enumeration date
05/16/2009
Last updated
12/08/2016
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