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Individual

DR. MARISSA A RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
25 LONG CREEK DR, SO PORTLAND, ME 04106
(207) 774-6553
Mailing address
25 PLANTATION DR, SCARBOROUGH, ME 04074
(207) 510-1582

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3833
ME

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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