Individual
DONNA L POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
41 CAMBELL SHORE RD, GRAY, ME 04039-7770
(207) 653-6680
(207) 428-3925
Mailing address
41 CAMBELL SHORE RD, GRAY, ME 04039-7770
(207) 653-6680
(207) 428-3926
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH2413
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RDH2413
MAINE
ME
Enumeration date
10/05/2010
Last updated
10/05/2010
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