NPI | 1376999730 |
---|---|
Entity Type | Organization |
Authorized Contact | TRAVIS C CASTLEBERRY Owner 207-374-5538 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 4247) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2024-08-19 |