Individual
MACKENZIE ERIN CHANCELLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
186 LOWELLTOWN RD, WISCASSET, ME 04578
(207) 653-8170
Mailing address
186 LOWELLTOWN RD, WISCASSET, ME 04578-4417
(207) 653-8170
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH4145
ME
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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