| NPI | 1356562375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCKWELL FERMAN DAVIS Dentist 207-729-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3436) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |