| NPI | 1063624773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DOUGLAS COPELAND Owner 603-437-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NH 2056) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-01-31 |