NPI | 1245484310 |
---|---|
Doing Business As | MAIN STREET DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | OLUGBENGA A AKINSANYA Dentist 207-872-6815 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 4077) |
Enumeration Date | 2008-11-16 |
Last Update Date | 2008-11-16 |