| NPI | 1316333594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E MYERS Owner/Dentist 207-797-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3196) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |