| NPI | 1992745384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY GIROUARD Office Manager 207-783-0261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 2892) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |