Three Rivers Dental Pllc

NPI #1881930105 in Greenland, New Hampshire

Provider Information

NPI Number: 1881930105
Entity Type: Organization
Organization Name: Three Rivers Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Dec 13, 2012
Last Updated: Dec 13, 2012

Practice Location

Address: 655 PORTSMOUTH AVE
Address 2: SUITE 9
City: Greenland
State: New Hampshire
ZIP Code: 03840-2246
Phone: (920) 284-8640

Authorized Official

Name: DR. LOGAN KEVIN REILLY, D.M.D.
Title: SOLE MEMBER
Phone: (920) 284-8640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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