Individual
SUKI ROSE ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
190 PARK AVE, PORTLAND, ME 04102-1000
(207) 874-1028
Mailing address
38 CYPRESS ST, PORTLAND, ME 04103-2007
(401) 741-1462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN5178
ME
Other
Enumeration date
06/27/2023
Last updated
12/12/2024
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