| NPI | 1255474698 |
|---|---|
| Other Name | NORTHEAST ORAL & MAXILLOFACIAL SURGERY P.A.(REMOVE) |
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. DEIGHAN Co Owner/Surgeon 207-945-5691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: ME 3079) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2012-12-17 |