| NPI | 1518179639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP JOHN BRETZ President Owner 207-364-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2110) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |