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1083650436
SUSAN J RUSSETT-COLLETT
PORTLAND, ME
NPI
1083650436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: ME 3008)
Enumeration Date
2006-06-22
Last Update Date
2007-07-08
Business Address
Dr. SUSAN J RUSSETT-COLLETT DDS
888 BRIGHTON AVE
PORTLAND, ME 04102-1004
Phone number: 207-772-4111
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Mailing Address
Dr. SUSAN J RUSSETT-COLLETT DDS
3 LEDGE HILL RD
GORHAM, ME 04038-2121
Phone number: 207-839-8149
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