| NPI | 1811010960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RABEH H EBEED Owner 603-883-1929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 3176) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 20972) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |