person
Ashley Dawn Soucy, LD
Denturist in Portland, Maine
NPI 1801560842

Ashley Dawn Soucy is a Denturist based in North Berwick, ME. Ashley Dawn Soucy practices in Portland, ME and has the professional credentials of LD. The NPI Number for Ashley Dawn Soucy is 1801560842 and holds a License No. DTR5539 (Maine).

The current practice location address for Ashley Dawn Soucy is 980 Forest Ave Ste 104, Portland, ME and can be reached out via phone at 207-774-7645. You can also correspond with Ashley Dawn Soucy through the mailing address at 57 NOWELL ST, NORTH BERWICK, ME - 03906-6519 (mailing address contact number: 207-794-5322).

Location: 980 Forest Ave Ste 104, Portland, ME, 03906-6519
person
Provider Profile Details
NPI Number
1801560842
Provider Name
Ashley Dawn Soucy
Credential
LD
Provider Entity Type
Individual
Gender
Female
Address
980 Forest Ave Ste 104, Portland, ME, 03906-6519
Phone Number
207-774-7645
Fax Number
Provider Enumeration Date
08/03/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DTR5539 01 ME STATE OF MAINE DENTAL BOARD
institution
Provider Business Practice Location Address Details
Address
980 Forest Ave Ste 104
City
State
Zip
04103-3357
Phone Number
207-774-7645
Fax Number
person
Provider Business Mailing Address Details
Address
980 Forest Ave Ste 104
City
State
Zip
04103-3357
Phone Number
207-774-7645
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DTR5539 (Maine)
Definition
Definition to come.
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