| NPI | 1497166367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIDHIMA GOYAL Dentist 603-898-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 03726) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 04014) |
| 1223G0001X Dentist, General Practice (Licence: NH 03434) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |