Joseph W Gage Family Trust
NPI #1902922289 in Laconia, New Hampshire
Provider Information
- NPI Number
- 1902922289
- Entity Type
- Organization
- Organization Name
- Joseph W Gage Family Trust
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Apr 22, 2008
Practice Location
- Address
- 348 UNION AVENUE
- City
- Laconia
- State
- New Hampshire
- ZIP Code
- 03246
- Phone
- (603) 524-3750
Authorized Official
- Name
- MRS. A M RITA GAGE
- Title
- TRUSTEE
- Phone
- (603) 524-1389
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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