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MRS. THERESA LOUISE BEVINS RDH

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1417348053

Individual Registrant:
MRS. THERESA LOUISE BEVINS RDH
Gender: F
Sole Proprietor

Location and contact information for practice:
17 LEVESQUE DRIVE, SUITE 3 KINGSTON FAMILY DENTAL ELIOT, ME 03903 US
Tel: 207-439-0779  Fax: --

Contact information for business:
17 LEVESQUE DRIVE, SUITE 3 KINGSTON FAMILY DENTAL ELIOT, ME 03903 US
Tel: 207-439-0779  Fax: --

Registration Information:
NPI: 1417348053
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N124Q00000XDental Providers
Dental Hygienist
ME2621
Y124Q00000XDental Providers
Dental Hygienist
NH02448

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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