| NPI | 1578681417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE LAURION GOODSPEED Owner 603-332-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 1946) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 3370) |
| 1223G0001X Dentist, General Practice (Licence: NH 927) | |
| 1223G0001X Dentist, General Practice (Licence: NH 03538) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-06-11 |