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Organization

MARQUE MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHANNON M FARRELL D.M.D. (DENTIST)
(603) 622-6288
Entity
Organization

Contact information

Practice address
373 S WILLOW ST, SUITE D1-6, MANCHESTER, NH 03103-5751
(603) 622-6288
Mailing address
373 S WILLOW ST, SUITE D1-6, MANCHESTER, NH 03103-5751
(603) 622-6288

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3568
NH

Other

Enumeration date
12/19/2007
Last updated
12/19/2007
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