| NPI | 1447469366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MORRISON REYNOLDS Owner 207-622-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: ME 2651) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-10-16 |