Children's Dentistry of the Lakes Region, Pllc

NPI #1285935866 in Gilford, New Hampshire

Provider Information

NPI Number: 1285935866
Entity Type: Organization
Organization Name: Children's Dentistry of the Lakes Region, Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 12, 2010
Last Updated: Nov 12, 2010

Practice Location

Address: 369 HOUNSELL AVE
Address 2: UNIT #1
City: Gilford
State: New Hampshire
ZIP Code: 03249
Phone: (603) 527-2500

Authorized Official

Name: DR. MELISSA ANNE KENNELL, DDS
Title: DENTIST
Phone: (603) 527-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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