| NPI | 1275747966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFWAN JOSEPH NANO Owner 207-856-6724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ME 3745) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |