NPI | 1780094763 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY DON WENDELL Doctor / Dentist 603-686-3928 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 3134) |
Enumeration Date | 2014-04-30 |
Last Update Date | 2014-04-30 |