| NPI | 1265471239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA PARE Billing Manager 603-669-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 3135) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 2583) |
| 1223G0001X Dentist, General Practice (Licence: NH 2590) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-08-22 |