| NPI | 1841404647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A. HILLEBRAND Owner 603-542-8797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NH 1410) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |