| NPI | 1134226277 |
|---|---|
| Former Legal Business Name | JONATHAN M GOSS |
| Entity Type | Organization |
| Authorized Contact | JONATHAN M GOSS Sole Member LLC 207-236-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ME 2970) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |