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Organization
CHESHIRE MEDICAL CENTER
Active
Organization
CHESHIRE MEDICAL CENTER
Active
Other names
Cheshire Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOELLYN STACK RD, LD, MPH (COMMUNITY HEALTH PROGRAM MANAGER)
(603) 354-5400
Entity
Organization
Contact information
Practice address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5494
Mailing address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5494
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30532724
—
NH
Enumeration date
02/21/2008
Last updated
02/21/2008
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