| 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 | 2024-12-02 |