| NPI | 1437166584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW G SMITH Owner/President 603-356-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |