| NPI | 1588695316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA A LEVY Business Manager 603-228-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-18 |