| NPI | 1396408191 |
|---|---|
| Doing Business As | MOUNT AUBURN DENTAL |
| Entity Type | Organization |
| Authorized Contact | TYLER JOSEPH GAGNON Owner 207-782-3971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |