| 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 |