| NPI | 1417162041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PAUL BENENTI Owner 207-985-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2353) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |