DR. Denise M Theriault, D.M.D.

NPI #1609098425 in Portland, Maine

Provider Information

NPI Number
1609098425
Entity Type
Individual
Name
DR. Denise M Theriault, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Periodontics
Credential
D.M.D.
Enumeration Date
May 2, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
276 CANCO RD
State
Maine
ZIP Code
04103-4351
Phone
(207) 780-1822

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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