| NPI | 1801330865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN CHARLES URA President 603-886-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 2190) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2016-12-10 |