| NPI | 1114969821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF W DAIGLE President/ Clerk 207-324-1345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3038) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |