NPI | 1437345691 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK STEPHEN LUCIER Doctor/Owner 207-324-0026 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: ME 3822) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2007-09-21 |