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1619051190
ROBERT ANTHONY DERICE
PORTLAND, ME
NPI
1619051190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ME 2652)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
Dr. ROBERT ANTHONY DERICE D.M.D.
9 SANBORN ST
PORTLAND, ME 04103-2107
Phone number: 207-878-3100
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Mailing Address
Dr. ROBERT ANTHONY DERICE D.M.D.
9 SANBORN ST
PORTLAND, ME 04103-2107
Phone number: 207-878-3100
Copy
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