Organization
PAUL L JANE DDS, DAVID A HEDSTROM DDS, JASPER AINSLIE DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL L JANE (PRES)
(603) 924-3664
Entity
Organization
Contact information
Practice address
21 GROVE ST, PETERBOROUGH, NH 03458-1424
(603) 924-3664
Mailing address
21 GROVE ST, PETERBOROUGH, NH 03458-1424
(603) 924-3664
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1584
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99001669
—
NH
Enumeration date
08/11/2006
Last updated
08/22/2020
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