| NPI | 1184903197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE R MILLER President 603-352-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-11-01 |