| NPI | 1588781405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS RUETTY Owner 207-775-2072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3184) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2020-08-22 |