Backbay Dental, LLC
NPI #1164039277 in Wolfeboro, New Hampshire
Provider Information
- NPI Number
- 1164039277
- Entity Type
- Organization
- Organization Name
- Backbay Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 23, 2020
- Last Updated
- Sep 23, 2020
Practice Location
- Address
- 51 MILL ST
- City
- Wolfeboro
- State
- New Hampshire
- ZIP Code
- 03894-4361
- Phone
- (603) 569-1554
Authorized Official
- Name
- DR. NICHOLAS THOMAS CIANCARELLI, D.M.D.
- Title
- MANAGER
- Phone
- (603) 569-1554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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