Lifetime Dental Professionals of New Hampshire, P.c.

NPI #1124439641 in Epping, New Hampshire

Provider Information

NPI Number
1124439641
Entity Type
Organization
Organization Name
Lifetime Dental Professionals of New Hampshire, P.c.
Subpart
Yes (part of a larger organization)
Parent Organization
LIFETIME DENTAL PROFESSIONALS OF NEW HAMPSHIRE, P.C.
Primary Specialty
Dentist - General Practice
Enumeration Date
May 19, 2014
Last Updated
May 19, 2014

Practice Location

Address
5 JANNELL COURT
City
Epping
ZIP Code
03042
Phone
(603) 679-4300

Authorized Official

Name
KIM WILSON
Title
CRED SUPERVISOR
Phone
(217) 540-5170

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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