NPI | 1285854869 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT L BROOKINGS President 207-947-6239 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3255) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |