Individual
ELIZABETH JANE BRACHOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1036 BRIGHTON AVE, PORTLAND, ME 04102-1059
(617) 855-5363
Mailing address
1036 BRIGHTON AVE, PORTLAND, ME 04102-1059
(617) 855-5363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856052
MA
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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