| NPI | 1861890410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSTAFA H. EL-SHERIF Manager 603-731-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |