Individual
JUSTIN MAILLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
45 HIGH ST, NASHUA, NH 03060-3312
(603) 821-6122
(603) 821-5620
Mailing address
77 NORTHEASTERN BLVD STE C, NASHUA, NH 03062-3128
(603) 882-3616
(603) 595-7414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04328
NH
Other
Enumeration date
07/10/2017
Last updated
09/12/2017
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