| NPI | 1215482047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUREN CHELIAN Practice Owner 603-882-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 3625) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |