| NPI | 1548649890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SUDATI Dentist/General Partner 603-627-3927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NH 03648) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2017-02-07 |