| NPI | 1629022611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES G BENNAS President 207-773-3738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ME 3052) |
| Additional Taxonomies | 122300000X Dentist (Licence: ME 2654) |
| 122300000X Dentist (Licence: ME 3251) | |
| 122300000X Dentist (Licence: ME 3533) | |
| 122300000X Dentist (Licence: ME 3693) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-08-22 |