| NPI | 1457566283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MICHAEL REDMOND President 603-332-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 1310) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NH 1310) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |