| NPI | 1699000836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY C FORD CEO 207-764-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: ME DEN3426) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2011-01-04 |