| NPI | 1184814568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY RALSTON WIGNALL Pediatric Dentist 207-773-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ME 3767) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |