| NPI | 1124327564 |
|---|---|
| Doing Business As | MIDCOAST FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JODY L LAVOIE Operations Manager 207-236-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ME 3037) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: ME 3037) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-11-01 |