| NPI | 1124561493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LAURETTE SOULIERE Owner/Operator 207-625-9227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: ME DTR5531) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |