| NPI | 1760256044 |
|---|---|
| Doing Business As | VALLEY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JACOB VALLEY Dentist 207-478-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |