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Individual

JOHN PHILIP POIRIER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
325D KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4530
(207) 872-8911
Mailing address
325D KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4530
(207) 872-8911

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2716
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11041000
ME
Enumeration date
04/18/2006
Last updated
07/09/2007
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