NPI | 1366700767 |
---|---|
Doing Business As | CAPITOL DENTAL CARE |
Entity Type | Organization |
Authorized Contact | CARL SHELINE Office Manager 207-622-9215 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 4156) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2012-04-24 |