| NPI | 1326376567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE HARRISON GLAD Orthodontist 207-622-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ME den2870) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |