| NPI | 1124105952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH AHERN Treasurer 603-432-5039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 1223P0300X Dentist Periodontics | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |