Individual
DR. STEPHEN M DESROSIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
41 FULLER RD, AUGUSTA, ME 04330-4910
(207) 622-1711
(207) 626-5893
Mailing address
41 FULLER RD, AUGUSTA, ME 04330-4910
(207) 622-1711
(207) 626-5893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3045
ME
Other
Enumeration date
10/11/2006
Last updated
07/09/2007
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