| NPI | 1225151178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD J BRENNAN Owner 207-773-2446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2905) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2007-11-05 |