NPI | 1700811734 |
---|---|
Doing Business As | CHILDREN'S DENTAL CARE |
Entity Type | Organization |
Authorized Contact | BLAKE CHESTER WULLBRANDT Owner 603-357-6385 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 3257) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2008-06-12 |