| NPI | 1306497094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMESON LOUIS HARDY Orthodontist 207-852-0523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |