Organization
RAYNOR DENTAL GILFORD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA J NORRIS (HR)
(603) 313-6990
Entity
Organization
Contact information
Practice address
401 GILFORD AVE STE 245, GILFORD, NH 03249-7526
(603) 352-0006
Mailing address
650 COURT ST, KEENE, NH 03431-1758
(603) 352-0006
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184119075
NPI
—
Enumeration date
12/23/2018
Last updated
12/23/2018
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