| NPI | 1205005329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN M BECKER Office Manager 603-524-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NH 2618) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NH 2618) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |