NPI | 1609123140 |
---|---|
Entity Type | Organization |
Authorized Contact | VIENA POSADA Dentist 603-855-2017 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NH 03588) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2012-08-14 |