| NPI | 1225222920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PATRICK HERBERT Administrator 207-782-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME DEN 4030) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |