| NPI | 1184849598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH WARE EVELAND Owner 603-433-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 1219) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |