| NPI | 1649484098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CLOUTIER President 207-856-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3714) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |