| NPI | 1558552489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE MARIE PAUL Office Supervisor 207-852-8919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ME 3322) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |