Individual
DR. BRIAN WILLIAM JAMES CICERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2837 LAFAYETTE RD, PORTSMOUTH, NH 03801-5648
(603) 436-6997
Mailing address
19 IDLEWOOD LN, KITTERY, ME 03904-5515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
04305
NH
Other
Enumeration date
05/29/2017
Last updated
05/29/2017
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