| NPI | 1386202406 |
|---|---|
| Doing Business As | MOUSAM RIVER DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JAMES RONALD CORMIER Owner/Doctor 207-692-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |