| NPI | 1336896489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE L'HEUREUX Oral Surgeon 207-649-6664 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-25 |