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 |