DR. DENISE THERIAULT, D.M.D.
Dentist - Periodontics
Active
Individual
NPI: 1609098425
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | 3390 (ME) |
Frequently Asked Questions
NPI 1609098425 is the National Provider Identifier for DR. DENISE THERIAULT, D.M.D., a Dentist - Periodontics provider located in Portland, ME. This NPI was enumerated on May 2, 2007.
DR. DENISE THERIAULT, D.M.D. practices at 276 CANCO RD, Portland, ME 04103.
Quick Facts
- NPI
- 1609098425
- Type
- Individual
- Enumerated
- May 2, 2007
- Last Updated
- Jul 8, 2007
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