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Individual

MR. JUDSON K. DEXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
171 WEST STREET, KEENE, NH 03431
(603) 357-2990
(603) 357-4481
Mailing address
171 WEST STREET, KEENE, NH 03431
(603) 357-2990
(603) 357-4481

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0315
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0907873Y0NH02
ANTHEM
NH
01
150450
HEALTHSOURCE
NH
05
30008943
NH
01
NH0315
EYEMED
NH
Enumeration date
02/06/2006
Last updated
05/01/2018
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