| NPI | 1558539098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN R BENGTSON Owner 603-228-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 2099) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2013-07-02 |