| NPI | 1073911400 |
|---|---|
| Doing Business As | KINGSTON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BLATT Owner 207-439-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 4215) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |