| NPI | 1053404996 |
|---|---|
| Doing Business As | PENOBSCOT COMMUNITY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LORI L. DWYER President & CEO 207-992-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-04-01 |