| NPI | 1740603596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG ALLEN PERRY Dentist 603-357-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 2624) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NH 2624) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2020-11-04 |