NPI | 1467062935 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK D ABEL Sole Member 603-622-9441 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Enumeration Date | 2020-08-08 |
Last Update Date | 2020-08-08 |