| NPI | 1710369285 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | THOMAS JAMES PASTOR Dentist 207-824-3378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ME DEN4431) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |