Dr. Lauren Ashely Gallant, DMD
Dentist, General Practice in Portland, ME. Individual provider (NPI-1).
NPI number1982134532
StatusActive
Last updated in NPPESJun 15, 2017
Details
- NPI
- 1982134532
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lauren Ashely Gallant
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2017
- Last updated
- Jun 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DEN4568 | ME | Yes |
Practice location
190 Park AvePortland, ME 04102-2910
Phone 207-874-1028
Mailing address
43 Kennard StWestbrook, ME 04092-2317
Phone 207-756-9409
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