| NPI | 1427264308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GEORGE SAWYER President 207-442-7581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: ME 2563) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |