Organization
PLYMOUTH DENTISTRY & IMPLANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINA BLANKSCHEN (ADMINSITRATOR)
(860) 997-0569
Entity
Organization
Contact information
Practice address
2 MAIN ST, PLYMOUTH, NH 03264-1439
(603) 536-1445
Mailing address
2 MAIN ST, PLYMOUTH, NH 03264-1439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074071
—
NH
Enumeration date
08/01/2017
Last updated
12/06/2017
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