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 |