NPI | 1477659597 |
---|---|
Entity Type | Organization |
Authorized Contact | NED BITSACK President/Dentist 603-595-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NH 1990) |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: MA 16316) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2020-08-22 |