Individual
ROULA P GIANNOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 PEARL ST, CAMDEN, ME 04843-1919
(207) 236-3381
Mailing address
72 E MAXWELL DR, WEST HARTFORD, CT 06107-1403
(617) 905-4395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21173
MA
1223G0001X
General Practice Dentistry
Primary
4020
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210021
—
MA
Enumeration date
01/08/2007
Last updated
09/03/2022
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