| NPI | 1134518178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES G. OLSON Board Chair/Head Volunteer 207-563-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ME 2187) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |