Individual
RYAN SALAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1036 BRIGHTON AVE STE A, PORTLAND, ME 04102-1053
(207) 828-2543
Mailing address
60 WILLOW LN, PORTLAND, ME 04102-2629
(262) 366-1516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4616
ME
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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