NPI | 1184765463 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER D DORR President 207-991-9570 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: ME 3785) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: ME 3796) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-08-22 |