| NPI | 1760660385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON STUART LENK Manager 603-868-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NH 3061) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |