| 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 |