| NPI | 1962133454 |
|---|---|
| Doing Business As | CAREFIRST DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | PRAVEEN K PAVULURU Sole Owner/Member 207-577-3424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |