| NPI | 1861457665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX L MCCULLOCH Dentist Partner 603-225-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 1604) |
| Additional Taxonomies | 122300000X Dentist (Licence: NH 3170) |
| 122300000X Dentist (Licence: NH 2389) | |
| 122300000X Dentist (Licence: NH 1478) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |