Lifetime Dental Professionals of New Hampshire, P.c.

NPI #1164821708 in Rochester, New Hampshire

Provider Information

NPI Number
1164821708
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
Aug 20, 2014
Last Updated
Aug 20, 2014

Practice Location

Address
152 HIGHLAND ST
ZIP Code
03868-8507
Phone
(603) 332-8868

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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