Richard Intiso D.m.d., PA

NPI #1417074733 in Windham, Maine

Provider Information

NPI Number
1417074733
Entity Type
Organization
Organization Name
Richard Intiso D.m.d., PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 23, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
4 COMMONS AVE STE 2
State
Maine
ZIP Code
04062-5554
Phone
(207) 893-2001

Authorized Official

Name
DR. RICHARD M INTISO, DMD
Title
DENTIST
Phone
(207) 893-2001

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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