| NPI | 1255373593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R. BUTTARAZZI Dentist 207-883-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2979) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: ME 2416) |
| 1223G0001X Dentist, General Practice (Licence: ME 3618) | |
| 1223E0200X Dentist, Endodontics (Licence: ME 2539) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |