Individual
BRIAN P VANEMMERIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
356 AIRPORT RD, STONINGTON, ME 04681-3217
(207) 367-2631
Mailing address
410 REACH RD, SEDGWICK, ME 04676-3006
(207) 367-2631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3371
ME
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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