| NPI | 1548431323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WICENSKI Member Of P LLC; Dentist 603-526-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NH 3019, 3020) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |