NPI | 1104205707 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON SUDATI General Partner 603-627-1301 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NH 03648) |
Enumeration Date | 2015-05-28 |
Last Update Date | 2015-05-28 |