| NPI | 1295387140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE CASWELL YOUNG Business Manager 603-224-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |