| NPI | 1053411306 |
|---|---|
| Doing Business As | GREAT EAST DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JAY MORGAN KNUDSEN Partner 207-324-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |