| NPI | 1952508616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DAVID BOYNTON President 207-846-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3448) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |