| 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 |