| NPI | 1497414700 |
|---|---|
| Doing Business As | GARRISON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | GREGORY FREDETTE Owner 603-312-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |