Individual
BRIANNA RUSSELL THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
495 WOODFORD ST, PORTLAND, ME 04103-2438
(207) 772-6966
Mailing address
14 WESTHAVEN LN, WELLS, ME 04090-6370
(207) 400-7607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN5057
ME
Other
Enumeration date
06/01/2023
Last updated
12/01/2023
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