| NPI | 1578771465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L ROONEY Office Manager 207-764-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: ME 3426) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-01-06 |