| NPI | 1013191154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H HENRY Dds 603-352-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NH 2449) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |