NPI | 1750596664 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER A CIFIZZARI CEO 207-743-2611 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3100) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2020-08-22 |