Organization
SEASIDE SMILES, PLLC
Active
Other names
Lakeside Smiles Pediatric Dentistry, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HALL (BUSINESS MANAGER)
(603) 280-4500
Entity
Organization
Contact information
Practice address
76 N. MAIN ST., WOLFEBORO, NH 03894
(603) 280-4500
Mailing address
PO BOX 1498, ALTON, NH 03809-1498
(603) 280-4500
(603) 632-3620
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3138977
—
NH
Enumeration date
03/20/2023
Last updated
03/21/2023
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