Individual
SHANNON GRYSKWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 YORK ST, KENNEBUNK, ME 04043-7157
(207) 985-0210
(207) 985-8068
Mailing address
PO BOX 354, STANDISH, ME 04084-0354
(207) 985-0210
(207) 642-6815
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
5007
ME
Other
Enumeration date
03/27/2014
Last updated
09/12/2016
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