| NPI | 1295853315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH L LONG President 207-781-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ME 1223G0001X) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |