Individual
MRS. STACY LYNN DELATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IPDH
Contact information
Practice address
5 PLYMOUTH DR, BIDDEFORD, ME 04005-2929
(207) 604-0232
Mailing address
5 PLYMOUTH DR, BIDDEFORD, ME 04005-2929
(207) 604-0232
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
IPH 33
ME
124Q00000X
Dental Hygienist
LAW 403
ME
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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