| NPI | 1194772426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN FIOLA Owner 207-873-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: ME 2641) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-22 |