| NPI | 1174674592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C BROOKS Partner 207-839-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2221) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2020-08-22 |