MARISSA RYAN DMD PLLC NPI 1730788357

NPI Information

MARISSA RYAN DMD PLLC is a dental clinic center in South Portland, ME. MARISSA RYAN DMD PLLC NPI is 1730788357. The provider is registered as an organization entity type.

The provider's business location address is:

280 GANNETT DR
SOUTH PORTLAND, ME
ZIP 04106-940
Phone: (207) 742-2288

The provider's authorized official is Marissa Ryan .
The authorized official title is Owner and has the following contact phone number (617) 851-9647.

The enumeration date for this NPI number is 10/24/2020 and was last updated on 10/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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