| NPI | 1275702599 |
|---|---|
| Other Name | CHESHIRE SMILES |
| Entity Type | Organization |
| Authorized Contact | JOELLYN STACK Community Health Program Manager 603-354-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |