| NPI | 1740220573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C. DIBONA Owner/Pres 603-772-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 1475) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |