| NPI | 1609261650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA MOHAN MANISH Owner 603-738-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855134) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |