| NPI | 1477841906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLA ANN LEVINE Dentist 603-552-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 03810) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |