Bedford Commons Periodontics PA
NPI #1205852340 in Bedford, New Hampshire
Provider Information
- NPI Number
- 1205852340
- Entity Type
- Organization
- Organization Name
- Bedford Commons Periodontics PA
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jul 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 303 RIVERWAY PL
- City
- Bedford
- State
- New Hampshire
- ZIP Code
- 03110-6744
- Phone
- (603) 623-6639
Authorized Official
- Name
- CHARLES DOUGLAS NEAL, DMD
- Title
- PERIODONTIST
- Phone
- (603) 623-6639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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