| NPI | 1609001676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DAN MOORE Doctor 207-947-6146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: ME 3658) |
| Additional Taxonomies | 122300000X Dentist (Licence: ME 3658) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-07-30 |