| NPI | 1992806681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L REDSHAW Office Staff 603-893-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NH 3422) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NH 3052) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 14368) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NH 3265) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 20461) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 21107) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-03-24 |