| NPI | 1407070006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. RUBERT BERUBE Vice President / Secretary 207-622-5814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: ME 3423) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-07-24 |