NPI | 1013174622 |
---|---|
Entity Type | Organization |
Authorized Contact | DWIGHT PADDOCK STANLEY President 207-593-9345 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: ME DEN4027) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-05-21 |