| NPI | 1225559289 |
|---|---|
| Former Legal Business Name | KMC DENTAL |
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL CONNELLY Owner 207-376-4977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ME DEN3619) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |