| NPI | 1265554141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASKELL CHARLES KINGSTON Owner Dentist 207-439-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2914) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-04-21 |