| NPI | 1881924173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ALAN BORER Owner 603-673-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA DN20854) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |