Elliot Professional Services

NPI #1255314951 in Manchester, New Hampshire

Provider Information

NPI Number
1255314951
Entity Type
Organization
Organization Name
Elliot Professional Services
Subpart
Yes (part of a larger organization)
Parent Organization
ELLIOT PROFESSIONAL SERVICES
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Nov 28, 2005
Last Updated
Jun 20, 2008

Practice Location

Address
1 ELLIOT WAY
Address 2
ELLIOT OMS CENTER
ZIP Code
03103-3502
Phone
(603) 625-8462

Authorized Official

Name
RICHARD P. HERMAN
Title
DIRECTOR OF OPERATIONS AND FINANCE
Phone
(603) 663-4904

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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Organizations

Provider Name
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