| NPI | 1083768188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA FILOCOMA Vice President 603-436-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 2612) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |