Organization
DOWNEAST CENTER FOR RESTORATIVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDAN HALLISSEY DMD (OWNER)
(207) 439-3390
Entity
Organization
Contact information
Practice address
12 NEWMARCH ST, KITTERY, ME 03904-1619
(207) 439-3390
Mailing address
12 NEWMARCH ST, KITTERY, ME 03904-1619
(207) 439-3390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3815
ME
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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