NPI | 1245619097 |
---|---|
Doing Business As | BIDDEFORD SACO DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | JACOB ROSKELLEY Owner/Dentist 207-282-9962 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ME 4279) |
Enumeration Date | 2015-05-27 |
Last Update Date | 2015-05-27 |