| NPI | 1124232772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER DAVID MELEVSKY Doctor 207-761-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 4009) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |