| NPI | 1518335892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RICHARD KERR Owner 207-775-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ME DEN2946) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: ME DEN2946) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |