NPI | 1376759415 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHAN LINDSAY HATCH Owner 207-647-8052 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2188) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-08-22 |