| NPI | 1417162967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD M. HUMEN President 603-882-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NH 1211) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |