| NPI | 1003188046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ANDREW BERNSTEIN President 207-784-7355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ME den4200) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |