NPI | 1114133089 |
---|---|
Other Name | BETHEL FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOHN R MASON Owner 207-824-3378 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2410) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2007-07-31 |