| NPI | 1407452196 |
|---|---|
| Doing Business As | FORESIDE DENTAL HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | LEA BEAULIEU Owner 207-636-6039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-08 |