| NPI | 1144846007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE JUDGE-PROULX Director Of Operations 603-436-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |