| NPI | 1659892701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG ALLEN PERRY Manager 603-924-9241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 2624) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 2624) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |