| NPI | 1114129756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L MAZUR KARY Owner President 207-783-1671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: ME 3170) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |