| NPI | 1992825137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM WOLFF Manager 603-893-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 3275) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 2359) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |