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 |