Abenaki Dental Care
Clinic/Center, Dental in Exeter, NH. Organization (NPI-2).
NPI number1730338229
StatusActive
Last updated in NPPESSep 9, 2008
Details
- NPI
- 1730338229
- Entity type
- Organization (NPI-2)
- Legal business name
- Abenaki Dental Care
- Organization subpart
- No
- Enumeration date
- Sep 9, 2008
- Last updated
- Sep 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 3407 | NH | Yes |
Practice location
1 Hampton RdSuite 305
Exeter, NH 03833-4848
Phone 603-583-4533 · Fax 603-583-4507
Mailing address
1 Hampton RdSuite 305
Exeter, NH 03833-4848
Phone 603-583-4533 · Fax 603-583-4507
Authorized official
Matthew Scott Heimbach
Dentist
6035834533
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