| NPI | 1780868687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIE PAULINE PHILLIPS Practice Manager 207-879-0010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: ME 3810) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |