| NPI | 1891042099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS PETER LALIBERTE President/Orthodontist 207-470-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ME DEN4118) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |