| NPI | 1407245897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J RUFF Owner 207-616-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ME 2817) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: ME 2817) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |