NPI | 1447433560 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH GUY PENNA President/Owner 207-883-3229 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2897) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2007-12-12 |