| NPI | 1164637211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD R. ZANCA Owner 207-236-4356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: ME 2713) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |