| NPI | 1568670685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A. LAGA Oral Surgeon 207-764-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: ME DEN4002) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-05-21 |