| NPI | 1851512180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J NEELY President 603-643-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NH 1237) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |