| NPI | 1164470530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN L HARRINGTON Practice Coordinator 603-624-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 2595) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 2004) |
| 1223G0001X Dentist, General Practice (Licence: NH 3488) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 1837) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 3099) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 3477) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NH 1837) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NH 3343) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |