| NPI | 1134010481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULISSA MAGDALY GUERRA PERCOLLA Founder/Owner/General Dentist 207-200-7403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |