| NPI | 1154625291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APARNA S KALLAKURCHI Dentist 603-204-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NH 03708) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |