| NPI | 1992391536 |
|---|---|
| Doing Business As | MAINELY TEETH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LOMBARDI Director Of Finance 603-475-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2025-02-26 |