| NPI | 1417114687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GERARD HOCHBERG Owner 603-622-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NH 2640) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2009-02-19 |