| NPI | 1871613539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON S SCARAMELLA Practice Adminstrator 603-692-6598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-08-10 |