Search › Maine › 207ZP0102X
Diane Kidric, D.O., J.D
NPI 1740480938 · on the registry since 2007
Practice
- Address
- 324 Gannett Dr Ste 200
South Portland, ME 04106 - Phone
- (207) 482-7800
- Organisation at this address
- Gannett Drive Dental Pllc
Kidspeace National Centers Of New England Inc
Kidspeace National Centers Of New England Inc
Kidspeace National Centers Of New England Inc
Kidspeace National Centers Of New England IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Also registered as
- 207ZP0102X
- Licence states on file
- NC, ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine