| NPI | 1285854836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DAVID SHENKIN Pediatric Dentist 207-947-6733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: ME 3649) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |