| NPI | 1295956944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANNE KENNEY Office Manager 603-622-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NH 3147) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: NH 3178) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |