Russell J Collett DDS

NPI 1629173711 - Dentist - 1223S0112X

NPI Details
NPI 1629173711
Gender Male
Enumeration Date 09/13/2006
Last Updated 06/16/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1601 CONGRESS STREET
PORTLAND ME, 04102, US
Phone (207) 772-8055
Fax (207) 772-8752
Business Location
1601 CONGRESS STREET
PORTLAND ME, 04102, US
Phone (207) 772-8055
Fax (207) 772-8752
Toxanomy
Taxonomy Code 1223S0112X
License State Maine
License Number 3009
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According to our database, Russell J Collett DDS NPI is 1629173711, taxonomy code is 1223S0112X and license number is 3009, license state is located at Maine. Russell J Collett DDS physically located at 1601 Congress Street, Portland ME, 04102. NPI Number Russell J Collett DDS has the Individual type.

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1629173711 NPI number is provided on an as is basis without warranty of any kind. 1629173711 is maintained by the National Plan & Provider Enumeration System. The contents of Russell J Collett DDS are for informational purposes only.