| NPI | 1457426686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN H WANG Periodontist Owner 603-224-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NH 3289) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NH 3290) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2023-03-07 |