| NPI | 1881983096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L ROONEY Office Manager 207-764-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: ME 37371) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |