NPI | 1598042640 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDERICK R MOLANDER Owner 207-775-1401 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2423) |
Enumeration Date | 2011-11-03 |
Last Update Date | 2011-11-03 |