| NPI | 1962620229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HENRY DE TOLLA Oral Surgeon 603-436-3608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NH 3472) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2009-09-08 |