NPI | 1194268268 |
---|---|
Other Name | ADVANCED DENTISTRY OF MAINE |
Entity Type | Organization |
Authorized Contact | DAVID LEE COO 732-207-1689 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME DEN4051) |
Enumeration Date | 2016-11-22 |
Last Update Date | 2024-03-08 |