MIA BALSOM

KEENE, NH
NPI1124637301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NH  04577)
Enumeration Date2020-07-23
Last Update Date2020-07-23
Business Address
MIA BALSOM DMD
342 WINCHESTER ST
KEENE, NH 03431-3936
Phone number: 844-301-8203
Mailing Address
MIA BALSOM DMD
222 WEST ST UNIT A401
KEENE, NH 03431-2458
Phone number: