| NPI | 1023657681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CHEIFETZ Owner 603-673-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |