| NPI | 1902919079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY STEPHEN FORGOSH Owner/Practitioner 603-228-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NH NH 1405) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |