| NPI | 1316151798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J ROSATO Owner 603-225-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NH 3188) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2012-08-14 |