| NPI | 1417074733 |
|---|---|
| Doing Business As | D.B.A. WINDHAM DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | RICHARD M INTISO Dentist 207-893-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME Dental 3564) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |