| NPI | 1962239103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BOWMAN DOSS President 207-838-6029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |