NPI | 1629303086 |
---|---|
Former Legal Business Name | BIRCHCROFT FAMILY DENTAL PC |
Entity Type | Organization |
Authorized Contact | LORI J ROLKE Office Manager 603-647-2278 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NH 3118) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 3535) |
Enumeration Date | 2009-10-02 |
Last Update Date | 2010-07-27 |