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General Practice Dentist

Bow, New Hampshire

Provider NPI: 1902089121

Organization Information:
Organization is not Subpart
Authorized Official:  BRUCE A CRONHARDT  OWNER  603-2243151

Practice Location:
514 SOUTH ST  BOW, NH 03304 US
Tel: 603-224-3151  Fax: 603-228-3417

Business Mailing Address:
514 SOUTH ST  BOW, NH 03304 US
Tel: 603-224-3151  Fax: 603-228-3417

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
General Practice

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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