| NPI | 1265212377 |
|---|---|
| Other Name | COOS COUNTY FAMILY DENTAL - COLEBROOK SITE |
| Entity Type | Organization |
| Authorized Contact | CHANTAL L HULME Credentialing Manager 603-752-2040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |