Individual
DR. MARYSSA A ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
101 SHATTUCK WAY STE 5, NEWINGTON, NH 03801-7876
(603) 436-9200
Mailing address
104 WASHINGTON ST APT 323, DOVER, NH 03820-3884
(774) 254-7788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
04516
NH
1223G0001X
General Practice Dentistry
DN1858457
MA
Other
Enumeration date
08/27/2019
Last updated
10/25/2020
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