| NPI | 1194861807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD FISCHER President 207-846-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ME 3602) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |