| NPI | 1386332930 |
|---|---|
| Former Legal Business Name | AUGUSTA CHILDRENS DENTISTRY ASSOCIATES LLC |
| Entity Type | Organization |
| Authorized Contact | LUKE KLINKER Owner 207-474-9326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |