| NPI | 1598130619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY MURRAY Owner 207-642-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ME DEN 4377) |
| Additional Taxonomies | 122300000X Dentist (Licence: ME DEN 4378) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-14 |