ROBERT ANTHONY DERICE

PORTLAND, ME
NPI1619051190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ME  2652)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
Dr. ROBERT ANTHONY DERICE D.M.D.
9 SANBORN ST
PORTLAND, ME 04103-2107
Phone number: 207-878-3100
Mailing Address
Dr. ROBERT ANTHONY DERICE D.M.D.
9 SANBORN ST
PORTLAND, ME 04103-2107
Phone number: 207-878-3100