| NPI | 1497918429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DON WENDELL Owner 603-330-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 3134) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |