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General NPI Number Information
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NPI Number | 1699655977
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Entity Type | Organization
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Legal Business Name | BLUE BLISS DENTAL WELLNESS LLC.
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 11 ROCK ROW
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City | WESTBROOK
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State | ME
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Zip | 04092-4877
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Country | US
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Telephone | 207-443-3949
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Fax |
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Provider Business Mailing Address
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Address Line | 11 ROCK ROW
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City | WESTBROOK
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State | ME
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Zip | 04092-4877
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Country | US
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Telephone | 207-443-3949
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Fax |
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Authorized Official
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Title or Position | OWNER/INDEPENDENT DENTAL HYGIENIST
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Name | MS. JOSERING MBOLLE ALOBWEDE
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Credential | IPDH/LASER CERTIFIED
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Telephone | 207-443-3949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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