NPI | 1942854963 |
---|---|
Doing Business As | ANDROSCOGGIN VALLEY DENTAL |
Entity Type | Organization |
Authorized Contact | KERRY KRUYSMAN Office Manager 603-752-2013 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-07-29 |
Last Update Date | 2019-07-29 |