| NPI | 1124352737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI L SAWYER Office Manager 207-667-7117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3036) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |