| NPI | 1275070070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID IENI Owner/Dentist 603-236-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 8812) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |