GARRETT GLEN RICHARDSON

PORTLAND, ME
NPI1760053367
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ME  2747)
Enumeration Date2021-07-06
Last Update Date2021-07-06
Business Address
GARRETT GLEN RICHARDSON IPDH
716 STEVENS AVE
PORTLAND, ME 04103-2693
Phone number: 207-221-4747
Mailing Address
GARRETT GLEN RICHARDSON IPDH
268 PEASE RD
BUXTON, ME 04093-6522
Phone number:
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