| NPI | 1013028596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L GAGNON Senior President 603-889-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH NH2001) |
| Additional Taxonomies | 122300000X Dentist (Licence: NH NH3314) |
| 122300000X Dentist (Licence: NH NH3421) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |