| NPI | 1447796644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN O'KEEFE Manager 207-872-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 4189) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |