| 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 |