Organization
HANOVER ORAL SURGERY PLLC
Active
Organization
HANOVER ORAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY W BRADIGAN DDS (OWNER)
(603) 643-1700
Entity
Organization
Contact information
Practice address
367 ROUTE 120, UNIT E-1, LEBANON, NH 03766-1430
(603) 643-1700
(603) 643-1702
Mailing address
367 ROUTE 120, UNIT E-1, LEBANON, NH 03766-1430
(603) 643-1700
(603) 643-1702
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
03746
NH
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
2601
NH
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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