| NPI | 1619398856 |
|---|---|
| Doing Business As | MAINE FAMILY DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | TRAVIS R BUXTON Owner/Dentist 207-947-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME DEN4146) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2018-09-26 |