Organization · NPI-2
A Lovely Smile, LLC
Dental Hygienist · Gorham, ME
NPI number1891531463
StatusActive
Last updated in NPPESJul 3, 2024
Details
- NPI
- 1891531463
- Entity type
- Organization (NPI-2)
- Legal business name
- A Lovely Smile, LLC
- Organization subpart
- No
- Enumeration date
- Jul 3, 2024
- Certification date
- Jul 3, 2024
- Last updated
- Jul 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | – | – | Yes |
Practice location
9 Gateway Commons DrGorham, ME 04038-1331
Phone 207-939-6785
Mailing address
9 Gateway Commons DrGorham, ME 04038-1331
Phone 207-939-6785
Authorized official
Lovely Loveless
Ceo/Owner
2079396785
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