| NPI | 1164696225 |
|---|---|
| Doing Business As | SCHOOL DENTAL PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MCEWEN President/CEO 603-238-2231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2009-10-06 |