| NPI | 1972551612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J. CLARK President 603-673-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 1566) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |