| NPI | 1477754810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD L WELDON President 603-357-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NH 3047) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2012-03-05 |