| NPI | 1144272352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK M. SCURA President 603-225-3482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NH 2186) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2015-01-14 |