NPI | 1740691153 |
---|---|
Doing Business As | CONCORD FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | GAURAV MALIK Member 603-224-4025 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-05-20 |
Last Update Date | 2014-07-07 |