| NPI | 1023212354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RAYMOND BACON President 603-542-5197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NH 1486) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |