| NPI | 1043430820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE CASSIDY Owner 207-764-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: ME 3265) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |