| NPI | 1205327319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN SHOCKLEY Office Manager 603-868-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 04395) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-06-11 |