Organization
CHILDREN'S DENTISTRY OF COCHECO VALLEY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S LUCIER (DENTIST/OWNER)
(603) 617-2882
Entity
Organization
Contact information
Practice address
750 CENTRAL AVE, SUITE B, DOVER, NH 03820-3434
(603) 617-2882
(603) 617-2809
Mailing address
750 CENTRAL AVE, SUITE B, DOVER, NH 03820-3434
(603) 617-2882
(603) 617-2809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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