| NPI | 1215266432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JOHN LEMERIS Sole Member 603-778-9630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 3489) |
| Additional Taxonomies | 122300000X Dentist (Licence: NH 1094) |
| 1223P0300X Dentist, Periodontics (Licence: NH 3121) | |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |