| NPI | 1730338229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCOTT HEIMBACH Dentist 603-583-4533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NH 3407) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |