NPI | 1205852340 |
---|---|
Former Legal Business Name | CHARLES D NEAL DMD PA |
Entity Type | Organization |
Authorized Contact | CHARLES DOUGLAS NEAL Periodontist 603-623-6639 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NH 1308) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2020-08-22 |