| NPI | 1366854838 |
|---|---|
| Doing Business As | PORTLAND ORAL AND MAXILLOFACIAL SURGURY |
| Entity Type | Organization |
| Authorized Contact | GREGORY V. SARKA Owner 207-712-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: ME 3720) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2024-02-01 |