NPI | 1336343979 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD J. HENDERSON President 603-749-0700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 1215) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2007-08-31 |