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Pediatric Dentistry

Salem, New Hampshire

Provider NPI: 1992825137

Organization Information:
Authorized Official:  ADAM  WOLFF  MANAGER  603-8935266

Practice Location:
389 MAIN ST  SALEM, NH 03079 US
Tel: 603-893-5266  Fax: 603-898-3475

Business Mailing Address:
389 MAIN ST  SALEM, NH 03079 US
Tel: 603-893-5266  Fax: 603-898-3475

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N1223P0221XDental Providers
Pediatric Dentistry
Y1223P0221XDental Providers

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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