| NPI | 1275642456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON K RING Office Manager 207-942-6620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: ME 3522) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-01-30 |