| NPI | 1184552945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA J GILBERTI-PEKINS Chief Compliance Officer 207-239-2975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 126800000X Dental Assistant | |
| Enumeration Date | 2026-05-12 |
| Last Update Date | 2026-05-12 |