| NPI | 1497197024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREEMALI VASANTHA Sole Member 603-225-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 03444) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |