Individual
MR. DENIS RUSSELL DAUPHINEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA, LSA
Contact information
Practice address
24 MAIN ST, BRADLEY, ME 04411-5006
(207) 817-3186
Mailing address
24 MAIN ST, BRADLEY, ME 04411-5006
(207) 817-3186
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
149949
ME
Other
Enumeration date
01/13/2016
Last updated
08/21/2017
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