| NPI | 1851142749 | 
|---|---|
| Doing Business As | 1330 DENTAL ASSOCIATES | 
| Entity Type | Organization | 
| Authorized Contact | MARK RAYMOND LEBEL President/Owner 207-773-3738 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2024-03-28 | 
| Last Update Date | 2024-03-28 |