Individual
JULISSA MAGDALY GUERRA PERCOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
190 PARK AVE, PORTLAND, ME 04102-2910
(207) 874-1028
Mailing address
424 PAYNE RD STE 102, SCARBOROUGH, ME 04074-5569
(207) 503-0030
(207) 503-0035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
100457
CA
1223G0001X
General Practice Dentistry
Primary
4488
ME
Other
Enumeration date
07/18/2016
Last updated
11/01/2025
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