| NPI | 1043452923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE C PAK Doctor/Owner 603-332-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NH 03699) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-08-05 |