| NPI | 1245359710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L ANDREASEN Office Manager 207-729-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ME 3543) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |