| NPI | 1679795223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY IAN SALTZ Periodontist 207-439-5413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: ME 3257) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |