| NPI | 1417399841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALA MYERS-FRENCH President 207-593-8089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ME IPH37) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |