| NPI | 1467949123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR DOUGLAS SMART Owner 603-434-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NH 04063) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |