| NPI | 1134410947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA M SANTA MARIA Business/Finance Manager 603-641-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 3516) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |