Individual
MRS. ANITA C OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.
Contact information
Practice address
7 GRETCHEN LANE, STANDISH, ME 04084
(207) 642-2310
(207) 642-6815
Mailing address
PO BOX 549, STANDISH, ME 04084-0549
(207) 642-2310
(207) 642-6815
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DTR5027
ME
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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