| NPI | 1174732937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOHN DIAMOND Owner 207-883-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3321) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |