| NPI | 1427099233 |
|---|---|
| Doing Business As | WINNISQUAM DENTAL |
| Entity Type | Organization |
| Authorized Contact | DEREK R BLACKWELDER Dentist / Owner 603-528-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-01-09 |