| NPI | 1750435558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SAMUEL GREEN President 207-892-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2508) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |