| NPI | 1760693881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TODD JACKSON President, Owner 603-661-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NH 3049) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |