| NPI | 1972707651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA SANTA MARIA Administrator 603-448-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 3516) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |