| NPI | 1205717089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN LIESS Owner 207-415-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-11 |