Organization
AMOSKEAG FAMILY DENTISTRY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SUDATI (GENERAL PARTNER)
(603) 627-1301
Entity
Organization
Contact information
Practice address
316 S MAIN ST, MANCHESTER, NH 03102-4842
(603) 627-1301
Mailing address
316 S MAIN ST, MANCHESTER, NH 03102-4842
(603) 627-1301
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
03648
NH
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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