Individual provider · Type 1 NPI

Robert Anthony Derice, DMD

General Practice Dentistry · Portland, ME

NPI number 1619051190 Active

About NPI 1619051190

Robert Anthony Derice, DMD's National Provider Identifier is 1619051190, issued on Oct 24, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, ME. The record was last updated on Jul 8, 2007.