| NPI | 1962502971 |
|---|---|
| Other Name | PROF ASSN |
| Entity Type | Organization |
| Authorized Contact | STEPHEN A MILLER Pres Treas 603-355-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: NH 1124) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |