Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 998 | ME |
NPI | 1003195033 |
---|---|
Provider Name | Teresa Lee-Schwartzberg |
First Address | Oakland, ME 04963-5216 |
Second Address | Oakland, ME 04963-5216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2011 |
Last Update Date | 08/08/2011 |