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Organization
GREATER DERRY ORAL HEALTH COLLABORATIVE CORPORATION
Active
Organization
GREATER DERRY ORAL HEALTH COLLABORATIVE CORPORATION
Active
Other names
Children's Dental Network
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE E. POWERS (EXECUTIVE DIRECTOR)
(603) 434-2327
Entity
Organization
Contact information
Practice address
2 WINDHAM DEPOT ROAD, SUITE 3L, DERRY, NH 03038
(603) 434-2327
(603) 432-1235
Mailing address
2 WINDHAM DEPOT ROAD, SUITE 3L, DERRY, NH 03038
(603) 434-2397
(603) 432-1235
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1213
NH
Other
Enumeration date
11/17/2010
Last updated
09/15/2023
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