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 |