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Individual

RICHARD ALBERT MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
22 EXCHANGE ST, GORHAM, NH 03581-1604
(603) 466-5015
(603) 466-5791
Mailing address
22 EXCHANGE ST, GORHAM, NH 03581-1604
(603) 466-5015
(603) 466-5791

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
03582
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
88736
RI BLUE CROSS BLUE SHIELD
RI
Enumeration date
07/15/2006
Last updated
07/08/2007
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