| NPI | 1871057968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY L BAKER Owner 603-491-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |