| NPI | 1871075481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WONDA ELAINE LEVER Practice Manager 603-610-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NH 1731) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |