| NPI | 1376617019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY A CARSEN Orthodontist 603-524-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NH 1295) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |