DR. Marissa A Ryan, DMD
NPI #1215035340 in So Portland, Maine
Provider Information
- NPI Number
- 1215035340
- Entity Type
- Individual
- Name
- DR. Marissa A Ryan, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 25 LONG CREEK DR
- City
- So Portland
- State
- Maine
- ZIP Code
- 04106
- Phone
- (207) 774-6553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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