| NPI | 1164961611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM JOASH BOTTRILL Pediatric Dentist 603-319-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NH 03849) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |