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 |