| NPI | 1619183902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE RICHHEIMER President 207-646-3372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ME 2805) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |