NPI | 1306022371 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES H. CREZNIC President 207-778-6342 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3596) |
Enumeration Date | 2008-01-21 |
Last Update Date | 2008-01-21 |