| NPI | 1275753675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JAMES LADDS Member 603-224-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 3068) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 1049) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |