| NPI | 1801931233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE R BRAGDON Owner Dentist 603-868-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 1375) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-06-03 |