| NPI | 1659449940 |
|---|---|
| Former Legal Business Name | REGAN & RUSSELL LLC |
| Entity Type | Organization |
| Authorized Contact | KEITH EDMUND RUSSELL Member/Dentist 207-772-6966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-12-03 |
| Last Update Date | 2023-05-12 |