| NPI | 1033602388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R LOGAN President 207-622-3879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ME DEN4625) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |