| NPI | 1598915118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SMOLIN Owner 207-333-0492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |