| NPI | 1114151180 |
|---|---|
| Other Name | JESSE ALBERT DENTAL AND ORTHODONTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN P LETOURNEAU Chief Executive Officer 207-781-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2020-07-14 |