| NPI | 1497980650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ELIANE VIZENTIN Dentist 207-363-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME dn4094) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |