| NPI | 1003834045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BOLDUC Sr. Dentist 603-483-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NH 1870) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-10-18 |