Organization
RICHARD INTISO D.M.D., PA
Active
Other names
D.B.A. Windham Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M INTISO DMD (DENTIST)
(207) 893-2001
Entity
Organization
Contact information
Practice address
4 COMMONS AVE STE 2, WINDHAM, ME 04062-5554
(207) 893-2001
(207) 893-2006
Mailing address
4 COMMONS AVE STE 2, WINDHAM, ME 04062-5554
(207) 893-2001
(207) 893-2006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DENTAL 3564
ME
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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