Provider Demographics
NPI:1487888244
Name:MORIN, LOUISE (RDH)
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:
Last Name:MORIN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 DAIGLE LN STE A
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04073-4173
Mailing Address - Country:US
Mailing Address - Phone:207-324-1345
Mailing Address - Fax:207-324-5168
Practice Address - Street 1:11 DAIGLE LN STE A
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:ME
Practice Address - Zip Code:04073-4173
Practice Address - Country:US
Practice Address - Phone:207-324-1345
Practice Address - Fax:207-324-5168
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME994124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist