| NPI | 1508932633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX HUTCHEON Secretary 207-846-0979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3345) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |