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 |