| NPI | 1740731470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C HALUSKA President 207-249-9524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ME DEN 4267) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |