Organization
NORTHEAST FAMILY DENTAL CENTER PC
Active
Other names
NE Dental Visions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN D BOULARD (PRESIDENT)
(603) 882-6055
Entity
Organization
Contact information
Practice address
193 KINSLEY ST, NASHUA, NH 03060-3658
(603) 882-6055
Mailing address
193 KINSLEY ST, NASHUA, NH 03060-3658
(603) 882-6055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2605
NH
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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