NPI | 1255548806 |
---|---|
Entity Type | Organization |
Authorized Contact | RALPH PETER ERGAS Owner 603-622-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 2545) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |