| NPI | 1326358680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA M NOLET Practice Administrator 603-635-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NH 3214) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |