Individual
DR. GREGORY JOHN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
314 RIVERSIDE ST, PORTLAND, ME 04103-1037
(207) 774-2146
(207) 774-5069
Mailing address
314 RIVERSIDE ST, PORTLAND, ME 04103-1037
(207) 774-2146
(207) 774-5069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2956
ME
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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