| NPI | 1902978935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRADLEY HAAS Dentist 603-432-5134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 1300) |
| Additional Taxonomies | 122300000X Dentist (Licence: NH 2662) |
| 122300000X Dentist (Licence: NH 3130) | |
| 122300000X Dentist (Licence: NH 3202) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |