| NPI | 1518170141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BOBBITT Bus Mgr CFO Clerk Of Corp 603-882-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 2562) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NH 2562) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2015-12-02 |