NPI | 1982763801 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA M LAWRENCE President 207-783-4705 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: ME 3065) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2020-08-22 |