| NPI | 1134168073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE MARVIN Office Manager 207-363-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2976) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |