| NPI | 1255314951 |
|---|---|
| Other Name | ELLIOT OMS CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD P. HERMAN Director Of Operations And Finance 603-663-4904 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2008-06-20 |