| NPI | 1609425032 |
|---|---|
| Doing Business As | NORTH SHORE DENTAL LTD |
| Entity Type | Organization |
| Authorized Contact | TREVOR J MCCOLLOUGH Dentist 207-332-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |